person
La Candra Virginia Ellis
Mental Health Counselor in Oakland, California
NPI 1518148253

La Candra Virginia Ellis is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. La Candra Virginia Ellis practices in Oakland, CA. The NPI Number for La Candra Virginia Ellis is 1518148253 and holds a License No. (California).

The current practice location address for La Candra Virginia Ellis is 4368 Lincoln Ave, Oakland, CA and can be reached out via phone at 510-531-3111 and via fax at 510-530-8083.

Location: 4368 Lincoln Ave, Oakland, CA, 94602-2529
person
Provider Profile Details
NPI Number
1518148253
Provider Name
La Candra Virginia Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4368 Lincoln Ave, Oakland, CA, 94602-2529
Phone Number
510-531-3111
Fax Number
510-530-8083
Provider Enumeration Date
11/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4368 Lincoln Ave
City
State
Zip
94602-2529
Phone Number
510-531-3111
Fax Number
510-530-8083
person
Provider Business Mailing Address Details
Address
4368 Lincoln Ave
City
State
Zip
94602-2529
Phone Number
510-531-3111
Fax Number
510-530-8083
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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