Individual provider · Type 1 NPI

Kerry Ellis

Mental Health Counselor · Medford, MA

NPI number 1649767203 Active

Practice location

190 High St Apt 210
Medford, MA 02155-3810

Call (339) 223-7727 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649767203

Kerry Ellis's National Provider Identifier is 1649767203, issued on Apr 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, MA. The record was last updated on Apr 19, 2018.