Individual provider · Type 1 NPI

Dawn Marie Ellis, LICSW, LADC

Professional Counselor · Thief River Falls, MN

NPI number 1790275196 Active

Practice location

120 Labree Ave S
Thief River Falls, MN 56701-2819

Call (218) 683-4349 Map

Mailing address

10510 State Highway 32 NE
Thief River Falls, MN 56701-8419

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3719 (MN)

Professional Counselor: Definition to come...

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About NPI 1790275196

Dawn Marie Ellis, LICSW, LADC's National Provider Identifier is 1790275196, issued on May 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Thief River Falls, MN. The record was last updated on May 11, 2018.