Individual
EMILY LYNDA JADE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
2 MANOR PKWY STE 2, SALEM, NH 03079-4871
(603) 634-8535
Mailing address
2 MANOR PKWY STE 2, SALEM, NH 03079-4871
(603) 634-8535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4681
MA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/04/2020
Last updated
08/22/2024
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