person
Ellen Farrell, LPC
Professional Counselor in Thunderbolt, Georgia
NPI 1144557570

Ellen Farrell is a Professional Counselor based in Pooler, GA and is specialized in Professional. Ellen Farrell practices in Thunderbolt, GA and has the professional credentials of LPC. The NPI Number for Ellen Farrell is 1144557570 and holds a License No. LPC004218 (Georgia).

The current practice location address for Ellen Farrell is 415 Bonaventure Rd, Thunderbolt, GA and can be reached out via phone at 912-247-4263.

Location: 415 Bonaventure Rd, Thunderbolt, GA, 31322-3925
person
Provider Profile Details
NPI Number
1144557570
Provider Name
Ellen Farrell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
415 Bonaventure Rd, Thunderbolt, GA, 31322-3925
Phone Number
912-247-4263
Fax Number
Provider Enumeration Date
11/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 Bonaventure Rd
City
State
Zip
31404-3299
Phone Number
912-247-4263
Fax Number
person
Provider Business Mailing Address Details
Address
415 Bonaventure Rd
City
State
Zip
31404-3299
Phone Number
912-247-4263
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC004218 (Georgia)
Definition
Definition to come...
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