NPI | 1588893010 |
---|---|
Professional Name | SEAN PATRICK ELLISON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5453) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: NH 1999) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2009-07-06 |
Last Update Date | 2022-04-15 |