Individual
CHRISTINE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.168065
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162252
OH
101YP2500X
Professional Counselor
Primary
C.2103639
OH
101YS0200X
School Counselor
C.2002664-TRNE
OH
Other
Enumeration date
02/28/2019
Last updated
07/22/2022
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