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

Mr. Kendrick Maurice Ellison Jr.

Individual provider Mental Health Counselor · NPI 1407225345

Mr. Kendrick Maurice Ellison Jr. is a Mental Health Counselor in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2015

Practice location Address checks out

714 Blue Hill Ave Apt 3
Boston, MA 02121-3239
Phone: (617) 637-0434
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence S11267675 (MA)

Record details

NPI number1407225345
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 22, 2015
Last updated in NPPESSeptember 22, 2015

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