Individual
LEIGH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503-1455
(616) 259-7207
Mailing address
1525 TREMONT BLVD NW, GRAND RAPIDS, MI 49504-4864
(616) 648-0441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018747
MI
Other
Enumeration date
11/11/2020
Last updated
05/09/2023
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