Ellison, Corey Jason

Ellison, Corey Jason is an individual health care provider with primary practice located at 145 Scaleybark Rd , Charlotte NC 28209-2687. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ellison, Corey Jason can be contacted via phone (704) 608-3886.

Contact Information

Primary practice address
145 Scaleybark Rd Charlotte NC 28209-2687
Phone: (704) 608-3886
Fax: (704) 536-6030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A9913 North Carolina

Profile Details

NPI number 1164769964
LBN Legal business name Ellison, Corey Jason
Credentials LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2013
Last updated Jan 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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