Individual
RYAN MICHAEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLMHC
Contact information
Practice address
1111 DUFF AVE, AMES, IA 50010-5745
(515) 233-7560
(515) 239-6879
Mailing address
1111 DUFF AVE, AMES, IA 50010-5745
(515) 233-7560
(515) 239-6879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
110491
IA
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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