Individual
MR. DANIEL WILLIAM ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. L.P.C.
Contact information
Practice address
1736 E SUNSHINE ST, PLAZA TOWERS SUITE 811, SPRINGFIELD, MO 65804-1343
(417) 882-4485
(417) 882-5517
Mailing address
1736 E SUNSHINE ST, PLAZA TOWERS SUITE 811, SPRINGFIELD, MO 65804-1343
(417) 882-4485
(417) 882-5517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007014539
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007014539
LICENSED PROFESSIONAL COUNSELOR LICENSE NUMBER
MO
Enumeration date
08/24/2009
Last updated
08/24/2009
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