Individual
JILL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3931 DIXIE HWY, LOUISVILLE, KY 40216-4166
(502) 554-6245
Mailing address
3931 DIXIE HWY, LOUISVILLE, KY 40216-4166
(502) 554-6245
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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