Individual
JENNIFER M ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
143 HEMLOCK DR, COLLEGEVILLE, PA 19426-2991
(609) 413-6089
Mailing address
143 HEMLOCK DR, COLLEGEVILLE, PA 19426-2991
(609) 413-6089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC006176
PA
Other
Enumeration date
03/14/2012
Last updated
04/28/2026
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