MATTISON ELLIS, LPC
Counselor - Professional
Active
Individual
NPI: 1851461917
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 1112 (MS) |
Frequently Asked Questions
NPI 1851461917 is the National Provider Identifier for MATTISON ELLIS, LPC, a Counselor - Professional provider located in Southaven, MS. This NPI was enumerated on November 8, 2006.
MATTISON ELLIS, LPC practices at 8829 CENTRE ST, SUITE 105, Southaven, MS 38671.
Quick Facts
- NPI
- 1851461917
- Type
- Individual
- Enumerated
- Nov 8, 2006
- Last Updated
- Jul 8, 2007
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