Individual
JEAN ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LCMHC
Contact information
Practice address
659 SHERWOOD GLN, SOMERSWORTH, NH 03878-1580
(603) 692-7099
Mailing address
659 SHERWOOD GLN, SOMERSWORTH, NH 03878-1580
(603) 692-7099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NH324
NH
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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