Individual provider · Type 1 NPI

Jay Thomas Ellison

Mental Health Counselor · Chico, CA

NPI number 1194069013 Active

Practice location

592 Rio Lindo Ave
Chico, CA 95926-1817

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194069013

Jay Thomas Ellison's National Provider Identifier is 1194069013, issued on Nov 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chico, CA. The record was last updated on Nov 15, 2012.