Individual provider · Type 1 NPI
Manon Ellsworth, MS, MFT, LPC
Professional Counselor · Hamilton, MO
NPI number
1487014205
Active
Practice location
507 W Mcgaughy St
Hamilton, MO 64644-1048
Mailing address
PO Box 294
Hamilton, MO 64644-0294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Psychologist | 103T00000X | None listed |
| Cognitive & Behavioral Psychologist | 103TB0200X | 14663 (CO) |
| Clinical Psychologist | 103TC0700X | 14663 (CO) |
| Counseling Psychologist | 103TC1900X | None listed |
| Counseling Psychologist | 103TC1900X | 14663 (CO) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 14663 (CO) |
| Family Psychologist | 103TF0000X | 14663 (CO) |
| Group Psychotherapy Psychologist | 103TP2701X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1487014205
Manon Ellsworth, MS, MFT, LPC's National Provider Identifier is 1487014205, issued on Mar 7, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hamilton, MO. The record was last updated on Jan 25, 2023.