Marty D Ellis MFT

NPI 1639316763 - Counselor - 101YM0800X

NPI Details
NPI 1639316763
Gender Female
Enumeration Date 01/12/2009
Last Updated 01/12/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1301 MOWRY AVE
FREMONT CA, 94538-1701, US
Phone (510) 792-5612
Fax (510) 797-3982
Business Location
1301 MOWRY AVE
FREMONT CA, 94538-1701, US
Phone (510) 792-5612
Fax (510) 797-3982
Toxanomy
Taxonomy Code 101YM0800X
License State California
License Number 39780
Remove 1639316763 NPI Number
 

According to our database, Ms. Marty D Ellis MFT NPI is 1639316763, taxonomy code is 101YM0800X and license number is 39780, license state is located at California. Marty D Ellis MFT physically located at 1301 Mowry Ave, Fremont CA, 94538-1701. NPI Number Marty D Ellis MFT has the Individual type.

Sponsored links

1639316763 NPI number is provided on an as is basis without warranty of any kind. 1639316763 is maintained by the National Plan & Provider Enumeration System. The contents of Marty D Ellis MFT are for informational purposes only.