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Ellery Farrell
Mental Health Counselor in Camilla, Georgia
NPI 1174072540

Ellery Farrell is a Mental Health Counselor based in Camilla, GA and is specialized in Mental Health. Ellery Farrell practices in Camilla, GA. The NPI Number for Ellery Farrell is 1174072540 and holds a License No. (Georgia).

The current practice location address for Ellery Farrell is 198 S Macarthur Dr, Camilla, GA and can be reached out via phone at 229-336-2247.

Location: 198 S Macarthur Dr, Camilla, GA, 31730-6370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174072540
Provider Name
Ellery Farrell
Credential
Provider Entity Type
Individual
Gender
Male
Address
198 S Macarthur Dr, Camilla, GA, 31730-6370
Phone Number
229-336-2247
Fax Number
Provider Enumeration Date
09/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
198 S Macarthur Dr
City
Camilla
State
Georgia
Zip
31730-6370
Phone Number
229-336-2247
Fax Number
person
Provider Business Mailing Address Details
Address
198 S Macarthur Dr
City
Camilla
State
Georgia
Zip
31730-6370
Phone Number
229-336-2247
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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