Individual provider · Type 1 NPI

Kendrick Maurice Ellison Jr.

Mental Health Counselor · Boston, MA

NPI number 1407225345 Active

Practice location

714 Blue Hill Ave Apt 3
Boston, MA 02121-3239

Call (617) 637-0434 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XS11267675 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1407225345

Kendrick Maurice Ellison Jr.'s National Provider Identifier is 1407225345, issued on Sep 22, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Sep 22, 2015.