Individual
CHRISTINE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.S., LPC
Contact information
Practice address
20 S PARK ST, MADISON, WI 53715-1348
(608) 287-2830
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
5522-125
WI
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/28/2011
Last updated
05/28/2026
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