Individual
CARIE JO ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 BRIARPARK DR APT 208, LINCOLN, NE 68516-2109
(402) 730-8135
Mailing address
2300 S 13TH ST, LINCOLN, NE 68502-3606
(402) 474-3322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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