person
Mr. Randy Wayne Ellis
Mental Health Counselor in Red Bluff, California
NPI 1174605125

Randy Wayne Ellis is a Mental Health Counselor based in Red Bluff, CA and is specialized in Mental Health. Randy Wayne Ellis practices in Red Bluff, CA. The NPI Number for Randy Wayne Ellis is 1174605125 and holds a License No. (California).

The current practice location address for Randy Wayne Ellis is 1445 Vista Way, Red Bluff, CA and can be reached out via phone at 530-529-5819 and via fax at 530-529-4002.

Location: 1445 Vista Way, Red Bluff, CA, 96080
person
Provider Profile Details
NPI Number
1174605125
Provider Name
Randy Wayne Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1445 Vista Way, Red Bluff, CA, 96080
Phone Number
530-529-5819
Fax Number
530-529-4002
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1445 Vista Way
City
State
Zip
96080
Phone Number
530-529-5819
Fax Number
530-529-4002
person
Provider Business Mailing Address Details
Address
1445 Vista Way
City
State
Zip
96080
Phone Number
530-529-5819
Fax Number
530-529-4002
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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