person
Angela Kelley Elllis
School Counselor in Vicksburg, Mississippi
NPI 1457129264

Angela Kelley Elllis is a School Counselor based in Vicksburg, MS and is specialized in School. Angela Kelley Elllis practices in Vicksburg, MS. The NPI Number for Angela Kelley Elllis is 1457129264 and holds a License No. 159347 (Mississippi).

The current practice location address for Angela Kelley Elllis is 3444 Wisconsin Ave, Vicksburg, MS and can be reached out via phone at 601-638-0031 and via fax at 601-638-1778.

Location: 3444 Wisconsin Ave, Vicksburg, MS, 39180-5331
person
Provider Profile Details
NPI Number
1457129264
Provider Name
Angela Kelley Elllis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3444 Wisconsin Ave, Vicksburg, MS, 39180-5331
Phone Number
601-638-0031
Fax Number
601-638-1778
Provider Enumeration Date
12/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3444 Wisconsin Ave
City
State
Zip
39180-5331
Phone Number
601-638-0031
Fax Number
601-638-1778
person
Provider Business Mailing Address Details
Address
3444 Wisconsin Ave
City
State
Zip
39180-5331
Phone Number
601-638-0031
Fax Number
601-638-1778
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
159347 (Mississippi)
Definition
Definition to come...
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