Individual provider · Type 1 NPI

Colleen Violet Ellis, MA

Mental Health Counselor · Eugene, OR

NPI number 1245556893 Active

Practice location

195 W 12th Ave
Eugene, OR 97401

Fax (541) 684-4156

Mailing address

687 Cheshire Ave
Eugene, OR 97402-5060

Other practice locations

  • 687 Cheshire Ave, Eugene, OR 97402-5060 · (541) 343-2993

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245556893

Colleen Violet Ellis, MA's National Provider Identifier is 1245556893, issued on Apr 7, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Apr 11, 2019.