Individual
LEON ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LPCC
Contact information
Practice address
81 W HIGHWAY 80 STE A, SOMERSET, KY 42503-2700
(606) 416-5590
Mailing address
81 W HIGHWAY 80 STE A, SOMERSET, KY 42503-2700
(513) 550-8506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
252814
KY
101YM0800X
Mental Health Counselor
E1600105
OH
Other
Enumeration date
08/20/2013
Last updated
02/28/2022
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