Individual
MRS. MARCIA NICHOLS ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1722 S. GLENSTONE AVE, STE H, SPRINGFIELD, MO 65804
(417) 881-9518
Mailing address
2764 S MARLBOROUGH AVE, SPRINGFIELD, MO 65807-3061
(417) 886-1594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007010499
MO
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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