Individual
REBECCA SUE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 PARK ROW, BRUNSWICK, ME 04011
(207) 504-3587
Mailing address
9 SCOTTSDALE AVENUE, LISBON FALLS, ME 04252
(207) 200-3078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC7415
ME
Other
Enumeration date
10/03/2021
Last updated
04/09/2024
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