Individual provider · Type 1 NPI
Susan Ellis, LPC
Mental Health Counselor · Germantown, WI
NPI number
1285247114
Active
Practice location
W175N11163 Stonewood Dr Ste 106
Germantown, WI 53022-6501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1285247114
Susan Ellis, LPC's National Provider Identifier is 1285247114, issued on Aug 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Germantown, WI. The record was last updated on Jan 31, 2023.