Individual provider · Type 1 NPI
Justin Ellis
Mental Health Counselor · Dallas, TX
NPI number
1235748138
Active
Practice location
5955 Alpha Rd # 1391
Dallas, TX 75240-1121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1235748138
Justin Ellis's National Provider Identifier is 1235748138, issued on Jul 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Jan 9, 2023.