Individual
CARRIE LYNNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
2231 LINCOLN RD, BELLEVUE, NE 68005-3907
(402) 694-8581
Mailing address
2231 LINCOLN RD, BELLEVUE, NE 68005-3907
(402) 694-8581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1951
NE
101YM0800X
Mental Health Counselor
Primary
3932
NE
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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