Individual
ANNA ELLENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4522 FULTON DR NW, CANTON, OH 44718-2332
(330) 915-2907
(330) 915-2958
Mailing address
4522 FULTON DR NW, CANTON, OH 44718-2332
(330) 915-2907
(330) 915-2907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2103580
OH
101YM0800X
Mental Health Counselor
Primary
E.2606785
OH
101YP2500X
Professional Counselor
C.2103580
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067687
—
OH
Enumeration date
04/07/2023
Last updated
03/18/2026
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