Individual provider · Type 1 NPI

Jorgonne Marie Ellis

Mental Health Counselor · Jamaica, NY

NPI number 1821680737 Active

Practice location

9027 Sutphin Blvd
Jamaica, NY 11435-3647

Mailing address

57 East Ave Fl 1
Valley Stream, NY 11580-3913

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821680737

Jorgonne Marie Ellis's National Provider Identifier is 1821680737, issued on Feb 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica, NY. The record was last updated on Feb 11, 2021.