Individual provider · Type 1 NPI
Marlene S. Ellis, LISW
Mental Health Counselor · Fremont, OH
NPI number
1619008505
Active
Practice location
212 S Park Ave
Fremont, OH 43420-2954
Fax (419) 334-8590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | I-0007955 (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1619008505
Marlene S. Ellis, LISW's National Provider Identifier is 1619008505, issued on Mar 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fremont, OH. The record was last updated on Jul 8, 2007.