Individual
ELLIS NATHANIEL ISHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSWAIC
Contact information
Practice address
3315 S 23RD ST STE 100, TACOMA, WA 98405-1615
(253) 361-4032
Mailing address
3315 S 23RD ST STE 100, TACOMA, WA 98405-1615
(253) 361-4032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWIA.SC.70024244
WA
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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