Individual
ELLEN ELIZABETH MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7495 W AZURE DR STE 205, LAS VEGAS, NV 89130-4416
(702) 480-9516
Mailing address
1986 WILLIAM WHITLEY RD, STANFORD, KY 40484-8885
(702) 480-9516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CI5182
NV
101YP2500X
Professional Counselor
Primary
291274
KY
Other
Enumeration date
09/29/2022
Last updated
04/23/2024
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