Individual provider · Type 1 NPI

Melody Joyce Ellis

Professional Counselor · Bloomington, IL

NPI number 1760145528 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178007977 (IL)

Professional Counselor: Definition to come...

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About NPI 1760145528

Melody Joyce Ellis's National Provider Identifier is 1760145528, issued on Oct 19, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomington, IL. The record was last updated on Oct 19, 2021.