STACIA LEIGH ELLSWORTH

WILMINGTON, NC
NPI1679317606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A20197)
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
STACIA LEIGH ELLSWORTH LCMHC
4302 WRIGHTSVILLE AVE
WILMINGTON, NC 28403-6336
Phone number: 910-788-2375
Mailing Address
STACIA LEIGH ELLSWORTH LCMHC
7025 CAMERON TRACE DR
WILMINGTON, NC 28411-1201
Phone number: 571-234-2583