Individual provider · Type 1 NPI

Shannon Nicole Ellison

Professional Counselor · Louisville, KY

NPI number 1437572146 Active

Practice location

3121 Brooklawn Campus Dr
Louisville, KY 40218-1282

Mailing address

4532 Pulaski Ct
Louisville, KY 40245-1839

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XKY-1355 (KY)

Professional Counselor: Definition to come...

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About NPI 1437572146

Shannon Nicole Ellison's National Provider Identifier is 1437572146, issued on Jan 31, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on Jan 31, 2014.