Individual
ALICE A ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3651 SHEPHERDSVILLE RD, ELIZABETHTOWN, KY 42701-9511
(270) 401-5450
(270) 401-5450
Mailing address
3651 SHEPHERDSVILLE RD, ELIZABETHTOWN, KY 42701-9511
(270) 401-5450
(270) 401-5450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00216428
KY
Other
Enumeration date
01/13/2012
Last updated
05/06/2020
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