Individual provider · Type 1 NPI

Lisa Michelle Ellenburg, LICSW

Mental Health Counselor · Winona, MN

NPI number 1922886779 Active

Practice location

420 E Sarnia St
Winona, MN 55987-6365

Mailing address

368 W Wabasha St
Winona, MN 55987-5201

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X30822 (MN)
Mental Health Counselor Primary 101YM0800X30822 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1922886779

Lisa Michelle Ellenburg, LICSW's National Provider Identifier is 1922886779, issued on Sep 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winona, MN. The record was last updated on Sep 21, 2023.