| NPI | 1497209530 |
|---|---|
| Other Name | JAMIE ELLISON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M2210002) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 443L) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00581-LC) | |
| 106H00000X Marriage & Family Therapist (Licence: NV 2637) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2022-10-26 |