Individual
CHRISTINE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.S., LPC
Contact information
Practice address
207 GRAND AVE, WAUSAU, WI 54403-6218
(715) 370-8865
(715) 256-8324
Mailing address
207 GRAND AVE, WAUSAU, WI 54403-6218
(715) 370-8865
(715) 256-8324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/28/2011
Last updated
03/22/2022
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