Individual
EMILY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3454 OAK ALLEY CT STE 400, TOLEDO, OH 43606-1355
(567) 298-4070
Mailing address
3454 OAK ALLEY CT STE 400, TOLEDO, OH 43606-1355
(567) 298-4070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2204750
OH
103TS0200X
School Psychologist
OH3150341
OH
Other
Enumeration date
08/28/2016
Last updated
01/10/2023
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