Individual provider · Type 1 NPI

Tierra Ellis

Mental Health Counselor · Chicago, IL

NPI number 1396390936 Active

Practice location

8407 S Constance Ave
Chicago, IL 60617-2218

Call (312) 721-2471 Map

Mailing address

10123 S Princeton Ave
Chicago, IL 60628-1943

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

23 other providers at this address

Other mental health counselor providers in Chicago

See all in Chicago →

About NPI 1396390936

Tierra Ellis's National Provider Identifier is 1396390936, issued on Aug 8, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Aug 8, 2019.