Individual provider · Type 1 NPI

Gina R. Ellison, LCPC

Counselor · Moline, IL

NPI number 1275706012 Active

Practice location

4600 3rd St
Moline, IL 61265-6106

Call (309) 779-2031 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1275706012

Gina R. Ellison, LCPC's National Provider Identifier is 1275706012, issued on Apr 11, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Moline, IL. The record was last updated on Apr 11, 2008.