Individual
JOHN THOMAS ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10206 TALIESIN DR APT 302, ENGLEWOOD, CO 80112-5419
(505) 948-8712
Mailing address
10206 TALIESIN DR APT 302, ENGLEWOOD, CO 80112-5419
(505) 948-8712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0020599
CO
Other
Enumeration date
04/04/2023
Last updated
07/26/2025
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