Individual provider · Type 1 NPI

Stacey Jo Ellison, MS, LPC-IT

Mental Health Counselor · Waukesha, WI

NPI number 1467287979 Active

Practice location

2314 N Grandview Blvd Ste 207
Waukesha, WI 53188-1675

Other practice locations

  • W156N8327 Pilgrim Rd Ste 309, Menomonee Falls, WI 53051-3776 · (262) 251-1112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7516-226 (WI)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1467287979

Stacey Jo Ellison, MS, LPC-IT's National Provider Identifier is 1467287979, issued on Sep 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukesha, WI. The record was last updated on Sep 4, 2024.