Ellis, Christine
Ellis, Christine is an sole proprietor health care provider with primary practice located at 207 Grand Ave , Wausau WI 54403-6218. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ellis, Christine can be contacted via phone (715) 370-8865.Contact Information
Primary practice address
207 Grand Ave
Wausau WI 54403-6218
Phone: (715) 370-8865
Fax: (715) 256-8324
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1366719841 |
---|---|
LBN Legal business name | Ellis, Christine |
Credentials | M.A., M.S., LPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 28th, 2011 |
Last updated | Mar 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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