Individual
MICHELLE DAWN ELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA, ATR-P
Contact information
Practice address
105 BROADWAY ST, VINCENNES, IN 47591-1251
(812) 790-2599
Mailing address
105 BROADWAY ST, VINCENNES, IN 47591-1251
(812) 790-2599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
88002155A
IN
101YS0200X
School Counselor
1583231
IN
221700000X
Art Therapist
Primary
23-204
IN
Other
Enumeration date
10/03/2023
Last updated
03/05/2025
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