Search › Minnesota › 101YA0400X
Mariah Ellis, LADC, LSW
NPI 1700439403 · on the registry since 2019
Practice
- Address
- 530 W Fir Ave
Fergus Falls, MN 56537 - Phone
- (218) 998-8166
- Fax
- (218) 998-8150
- Organisation at this address
- Otter Tail County Human Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 721 S Minnesota St, Crookston, MN
- 1 Serenity Ln, Coburg, OR
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota