Provider Demographics
NPI:1558551390
Name:D'URSO, ELLEN N (MA, NCC)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:N
Last Name:D'URSO
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 S MAIN ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5987
Mailing Address - Country:US
Mailing Address - Phone:724-283-9436
Mailing Address - Fax:
Practice Address - Street 1:220 S MAIN ST
Practice Address - Street 2:SUITE 306
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5987
Practice Address - Country:US
Practice Address - Phone:724-283-9436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health