Individual
RICKY DON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED. LPCA
Contact information
Practice address
19 WAINSCOTT AVE, WINCHESTER, KY 40391-1970
(859) 785-0457
Mailing address
19 WAINSCOTT AVE, WINCHESTER, KY 40391-1970
(859) 785-0457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
275439
KY
101YM0800X
Mental Health Counselor
275439
KY
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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