Individual
MR. JEFFREY ELLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., ED.M., LPC
Contact information
Practice address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 789-3912
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401013144
LICENSE
MI
Enumeration date
05/10/2007
Last updated
12/17/2014
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