Doctor Name: | MRS. SONJA DOWNES ELLINGTON |
NPI Number: | 1003963257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CRC, LPC |
License Number: | 5500 |
Business Practice Address: | 1214 Vaughn Rd Lowr Level Burlington, NC - 272172863 |
Business Phone Number: | 3362275050 |
Business Fax Number: | |
Mailing Address: | 711 Bristol Ct, BURLINGTON |
State: | NC |
Postal Code: | 272154713 |
Phone Number: | 3365850843 |
Fax Number: | 3365850843 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |