Stacy Lynn Ellman, LPC
Counselor, Professional in Golden Valley, MN. Individual provider (NPI-1).
NPI number1982192258
StatusActive
Last updated in NPPESApr 23, 2018
Details
- NPI
- 1982192258
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stacy Lynn Ellman
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2018
- Last updated
- Apr 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 02005 | MN | Yes |
Practice location
5851 Duluth St Ste 306Golden Valley, MN 55422-3957
Phone 612-280-5750
Mailing address
5851 Duluth St Ste 306Golden Valley, MN 55422-3957
Phone 612-280-5750
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