Individual
JOSHUA ALLEN ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A20043
NC
101YP2500X
Professional Counselor
Primary
A20043
NC
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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