Individual provider · Type 1 NPI

Robert Earle Ellis, LICSW

Mental Health Counselor · Weymouth, MA

NPI number 1366461337 Active

Practice location

273 Front St
Weymouth, MA 02188-2202

Call (781) 812-0252 Map

Fax (781) 812-0252

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1022916 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1366461337

Robert Earle Ellis, LICSW's National Provider Identifier is 1366461337, issued on Jul 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Weymouth, MA. The record was last updated on Jul 8, 2007.