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Organization
ELLISON MENTAL HEALTH SERVICES PLLC
Active
Organization
ELLISON MENTAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ELLISON (OWNER)
(701) 491-2651
Entity
Organization
Contact information
Practice address
530 OAK RIDGE WAY E, WEST FARGO, ND 58078-8417
(701) 491-2651
Mailing address
530 OAK RIDGE WAY E, WEST FARGO, ND 58078-8417
(701) 491-2651
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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