Individual
NATHAN JOHN ELLENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201
(701) 795-3000
(701) 795-3050
Mailing address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1001-4-15-19
ND
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/30/2010
Last updated
08/28/2019
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