Individual provider · Type 1 NPI

Daniel Ellis

Professional Counselor · Watseka, IL

NPI number 1740538065 Active

Practice location

323 W Mulberry St
Watseka, IL 60970-1568

Fax (815) 432-4537

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1740538065

Daniel Ellis's National Provider Identifier is 1740538065, issued on Aug 16, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Watseka, IL. The record was last updated on Aug 16, 2012.