Individual
NANCY D ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC
Contact information
Practice address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 845-3637
(715) 845-1977
Mailing address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(715) 845-3637
(715) 845-1977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16486-130
WI
101YP2500X
Professional Counselor
Primary
1476-226
WI
Other
Enumeration date
03/14/2012
Last updated
01/26/2017
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