Individual provider · Type 1 NPI

Jennifer Jeanne Ellis, M.A.

Mental Health Counselor · Grand Rapids, MI

NPI number 1609180819 Active

Practice location

7745 Jonagold Dr SE
Grand Rapids, MI 49508-7602

Call (616) 970-4636 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401013557 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1609180819

Jennifer Jeanne Ellis, M.A.'s National Provider Identifier is 1609180819, issued on Jul 29, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 15, 2013.