Provider Demographics
NPI:1003963257
Name:ELLINGTON, SONJA DOWNES (MS, CRC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:DOWNES
Last Name:ELLINGTON
Suffix:
Gender:F
Credentials:MS, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-4713
Mailing Address - Country:US
Mailing Address - Phone:336-585-0843
Mailing Address - Fax:336-585-0843
Practice Address - Street 1:1214 VAUGHN RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2863
Practice Address - Country:US
Practice Address - Phone:336-227-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health