Individual
AMBER LAUREN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 W MILL RD, EVANSVILLE, IN 47710-3877
(812) 499-3095
Mailing address
6600 HOGUE RD, EVANSVILLE, IN 47712-2910
(812) 499-3095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004046A
IN
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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