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Organization

ELLIS THERAPY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CATHERINE E ELLIS MA,LLP (PSYCHOTHERAPIST)
(269) 341-9725
Entity
Organization

Contact information

Practice address
2001 HUDSON AVE, KALAMAZOO, MI 49008-1889
(269) 341-9725
Mailing address
2001 HUDSON AVE, KALAMAZOO, MI 49008-1889
(269) 341-9725

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401004435
MI
103TC0700X
Clinical Psychologist
Primary
6301007514
MI

Other

Enumeration date
08/12/2014
Last updated
02/02/2017
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