Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candis Ann Ellis, CLC, CLE, CCCB

Individual provider Professional Counselor · NPI 1497648125

Candis Ann Ellis, CLC, CLE, CCCB is a Professional Counselor in Logan, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

225 N Quail Way
Logan, UT 84321-6705
Phone: (801) 791-7519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 316222 (UT)

Record details

NPI number1497648125
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLC , CLE , CCCB
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 1, 2025

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