MARY JENNIFER MARTIN-ELLISON LCSW
NPI 1093869240
Counselor - Mental Health in Durham, NC
Active since January 23, 2007
2670 DURHAM-CHAPEL HILL BLVD, DURHAM, NC 27707(919) 251-9001(919) 251-9008 Get Directions Write a Review
About Mary Jennifer Martin-ellison Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JENNIFER MARTIN-ELLISON LCSW (NPI 1093869240) is an individual mental health provider in Durham, North Carolina, licensed in North Carolina (C006082) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1093869240
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY JENNIFER MARTIN-ELLISONCredential: LCSW
Location Address2670 DURHAM-CHAPEL HILL BLVDDurham, NC 27707-2829
Mailing Address2670 Durham-chapel Hill BlvdDurham, NC 27707-2829 · (919) 251-9001 · Fax (919) 251-9008
Phone(919) 251-9001
Fax(919) 251-9008
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJune 12, 2013
✔ NPI 1093869240 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · C006082
2670 DURHAM-CHAPEL HILL BLVD, Durham, NC 27707
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
2670 DURHAM-CHAPEL HILL BLVD, CAROLINA OUTREACH
DURHAM, NC 27707
DURHAM, NC 27707
Social Worker (Clinical)
2670 DURHAM-CHAPEL HILL BLVD
DURHAM, NC 27707
DURHAM, NC 27707
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093869240, enumerated as an "individual" on January 23, 2007.
The provider is located at 2670 DURHAM-CHAPEL HILL BLVD DURHAM, NC 27707 and the phone number is (919) 251-9001.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
