Martin-Ellison, Mary Jennifer

Martin-Ellison, Mary Jennifer is an individual health care provider with primary practice located at 2670 Durham-Chapel Hill Blvd , Durham NC 27707-2829. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Martin-Ellison, Mary Jennifer can be contacted via phone (919) 251-9001.

Contact Information

Primary practice address
2670 Durham-Chapel Hill Blvd Durham NC 27707-2829
Phone: (919) 251-9001
Fax: (919) 251-9008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C006082 North Carolina

Profile Details

NPI number 1093869240
LBN Legal business name Martin-Ellison, Mary Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jun 12th, 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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