Individual
ANNA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1101 S 13TH ST, TERRE HAUTE, IN 47802-1409
(812) 232-3952
Mailing address
18210 E TERRE HAUTE RD, PARIS, IL 61944-6957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004969A
IN
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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