Anna Ellis, MA, LADC, LPCC
Counselor, Mental Health in Andover, MN. Individual provider (NPI-1).
NPI number1679232136
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1679232136
- Entity type
- Individual (NPI-1)
- Name
- Anna Ellis
- Credential
- MA, LADC, LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2021
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 3115 | MN | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 305435 | MN |
Practice location
1875 Station Pkwy NwAndover, MN 55304-3319
Phone 763-482-9598
Mailing address
18205 45th Ave N Ste DPlymouth, MN 55446-4594
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