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

Stephanie Dawn Ellsworth

Individual provider Mental Health Counselor · NPI 1114761756

Stephanie Dawn Ellsworth is a Mental Health Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1601 E 4th Plain Blvd
Vancouver, WA 98661-3713
Phone: (360) 989-3743
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 STUDENT (WA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1114761756
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

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