Individual
JEANNETTE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
103 MILAN AVE, AMHERST, OH 44001-1491
(440) 742-1661
Mailing address
152 HARRIS ST, AMHERST, OH 44001-1515
(440) 396-0252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0500204-SUPV
OH
Other
Enumeration date
06/27/2007
Last updated
02/13/2025
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