Organization
J. ELLISON AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DUPAY ELLISON LPCC (OWNER/PROVIDER)
(612) 964-8477
Entity
Organization
Contact information
Practice address
1521 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(612) 964-8477
(952) 895-1946
Mailing address
1521 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(612) 964-8477
(952) 895-1946
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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