Individual
HANNAH M ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA
Contact information
Practice address
400 E STATESVILLE AVE, MOORESVILLE, NC 28115-2581
(704) 360-8486
Mailing address
400 E STATESVILLE AVE, MOORESVILLE, NC 28115-2581
(704) 360-8486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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