Individual
VANITY V. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 728-3400
Mailing address
30000 HIVELEY ST, INKSTER, MI 48141-1089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015098
MI
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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