NPI 1033561568

Garrett Brandon Ellis, LCPCC

Practitioner Professional Counselor Waterville, ME

Practice location

Address: 67 Eustis Pkwy, Waterville, ME 04901-5173
Phone: (207) 873-2136

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence XL4725 (ME)

Other Counselor providers in Maine →

Registry record

NPI: 1033561568
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2016
Record last updated: 8 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.