Individual provider · Type 1 NPI

Jessica Ellis

Professional Counselor · Allentown, PA

NPI number 1851775704 Active

Practice location

2132 S 12th St Ste 103
Allentown, PA 18103-4814

Call (484) 359-3447 Map

Mailing address

3664 Vista Dr
Macungie, PA 18062-2139

Other practice locations

  • 2045 Westgate Dr Ste 304, Bethlehem, PA 18017-7475 · (610) 865-8177

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XPC009799 (PA)

Professional Counselor: Definition to come...

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About NPI 1851775704

Jessica Ellis's National Provider Identifier is 1851775704, issued on Jul 9, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Allentown, PA. The record was last updated on Sep 25, 2020.