Individual provider · Type 1 NPI
Candis Ann Ellis, CLC, CLE, CCCB
Professional Counselor · Logan, UT
NPI number
1497648125
Active
Practice location
225 N Quail Way
Logan, UT 84321-6705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 316222 (UT) |
Professional Counselor: Definition to come...
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About NPI 1497648125
Candis Ann Ellis, CLC, CLE, CCCB's National Provider Identifier is 1497648125, issued on Jun 2, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Logan, UT. The record was last updated on Jun 2, 2025.