STACEY JO ELLISON

WAUKESHA, WI
NPI1467287979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  7516-226)
Enumeration Date2024-09-04
Last Update Date2024-09-04
Business Address
-- STACEY JO ELLISON MS, LPC-IT
2314 N GRANDVIEW BLVD STE 207
WAUKESHA, WI 53188-1675
Phone number: 262-251-1112
Mailing Address
-- STACEY JO ELLISON MS, LPC-IT
2314 N GRANDVIEW BLVD STE 207
WAUKESHA, WI 53188-1675
Phone number: 262-251-1112
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