Individual
MR. CHRISTOPHER BRUCE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
102 W 18TH ST, LONDON, KY 40741-1050
(606) 261-1722
Mailing address
201 N HIGHWAY 1223, CORBIN, KY 40701-4829
(606) 261-1722
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
259080
KY
Other
Enumeration date
10/14/2019
Last updated
01/31/2026
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