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Search › Arizona › 261QM0855X

Jason Ellis, LMFT

NPI 1720786031 · on the registry since 2023 · sole proprietor

Practice

Address
1102 E Missouri Ave
Phoenix, AZ 85014
Phone
(602) 999-8389
Fax
(602) 613-4165
Organisation at this address
The Rosemary Tree, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
261QM0855X
261QM0855X
Also registered as
106H00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-07

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 Arizona