Kathy Jean Ellis LMFT

NPI 1710113980 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1710113980
Gender Female
Enumeration Date 06/02/2009
Last Updated 06/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2059 NEVADA CITY HWY
SUITE 104
GRASS VALLEY CA, 95945-7711, US
Phone (530) 477-7016
Fax (530) 477-5919
Business Location
12036 NEVADA CITY HWY
#237
GRASS VALLEY CA, 95945-8461, US
Phone (530) 477-7016
Fax (530) 477-5919
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC22869
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According to our database, Kathy Jean Ellis LMFT NPI is 1710113980, taxonomy code is 106H00000X and license number is MFC22869, license state is located at California. Kathy Jean Ellis LMFT physically located at 2059 Nevada City Hwy, Grass Valley CA, 95945-7711. NPI Number Kathy Jean Ellis LMFT has the Individual type.

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1710113980 NPI number is provided on an as is basis without warranty of any kind. 1710113980 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Jean Ellis LMFT are for informational purposes only.