Individual provider · Type 1 NPI

Sue Ellison

Counselor · O Fallon, MO

NPI number 1710237607 Active

Practice location

109 Church St
O Fallon, MO 63366-2894

Call (314) 540-1759 Map

Mailing address

512 Oakton Ridge Court
Ballwin, MO 63021

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X001590 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1710237607

Sue Ellison's National Provider Identifier is 1710237607, issued on Sep 18, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in O Fallon, MO. The record was last updated on Sep 18, 2012.