Ellis, Jessica

Ellis, Jessica is an individual health care provider with primary practice located at 1100 S 2Nd St , Mount Vernon WA 98273-4209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ellis, Jessica can be contacted via phone (360) 349-6200.

Contact Information

Primary practice address
1100 S 2Nd St Mount Vernon WA 98273-4209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CG60343193 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF60460104 Washington

Profile Details

NPI number 1053653725
LBN Legal business name Ellis, Jessica
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Dec 8th, 2023 - 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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