Individual
JESSICA ANNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1590 CRESTVIEW DR, ASHLAND, OH 44805-3560
(419) 289-0970
Mailing address
1590 CRESTVIEW DR, ASHLAND, OH 44805-3560
(419) 289-0970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1200548
OH
Other
Enumeration date
09/16/2014
Last updated
03/06/2018
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