Individual
ELIZABETH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
270 SPARTA AVE, #203, SPARTA, NJ 07871-1122
(973) 573-1500
Mailing address
270 SPARTA AVE, #203, SPARTA, NJ 07871-1122
(973) 573-1500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00296500
NJ
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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