COREY JASON ELLISON

CHARLOTTE, NC
NPI1164769964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A9913)
Enumeration Date2013-01-14
Last Update Date2013-01-14
Business Address
Mr. COREY JASON ELLISON LPCA
145 SCALEYBARK RD
CHARLOTTE, NC 28209-2687
Phone number: 704-608-3886
Mailing Address
Mr. COREY JASON ELLISON LPCA
145 SCALEYBARK RD
CHARLOTTE, NC 28209-2687
Phone number: 704-608-3886