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Individual

GARY ELLUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(888) 403-1071
(636) 332-8213
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2017031123
MO
101YP2500X
Professional Counselor
Primary
2017031123
MO

Other

Enumeration date
08/02/2017
Last updated
03/25/2025
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