Individual
DR. JO M ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
530 OAK RIDGE WAY E STE 6, WEST FARGO, ND 58078-8417
(701) 347-1318
(701) 707-3917
Mailing address
530 OAK RIDGE WAY E STE 6, WEST FARGO, ND 58078-8417
(701) 347-1318
(701) 707-3917
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
494
ND
103T00000X
Psychologist
LP5980
MN
Other
Enumeration date
03/27/2013
Last updated
01/17/2024
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