Individual
JULIA ANN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMT
Contact information
Practice address
2976 SUNSET RD, KALAMAZOO, MI 49009-1832
(989) 763-2196
Mailing address
2976 SUNSET RD, KALAMAZOO, MI 49009-1832
(989) 763-2196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401010426
MI
225700000X
Massage Therapist
Primary
7501000246
MI
Other
Enumeration date
12/12/2017
Last updated
09/20/2022
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