Individual
CONSTANCE R ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
W62N281 WASHINGTON AVE, CEDARBURG, WI 53012-2737
(262) 334-4340
Mailing address
4024 S KANSAS AVE, ST FRANCIS, WI 53235-4626
(608) 217-1896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10026125
WI
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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