person
Nolan B Ellis
Mental Health Counselor in San Rafael, California
NPI 1700587995

Nolan B Ellis is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Nolan B Ellis practices in San Rafael, CA. The NPI Number for Nolan B Ellis is 1700587995 and holds a License No. 138041 (California).

The current practice location address for Nolan B Ellis is 1974 Las Gallinas Ave, San Rafael, CA and can be reached out via phone at 415-302-2344.

Location: 1974 Las Gallinas Ave, San Rafael, CA, 94903-1740
person
Provider Profile Details
NPI Number
1700587995
Provider Name
Nolan B Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1974 Las Gallinas Ave, San Rafael, CA, 94903-1740
Phone Number
415-302-2344
Fax Number
Provider Enumeration Date
03/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1974 Las Gallinas Ave
City
State
Zip
94903-1740
Phone Number
415-302-2344
Fax Number
person
Provider Business Mailing Address Details
Address
1974 Las Gallinas Ave
City
State
Zip
94903-1740
Phone Number
415-302-2344
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
138041 (California)
Definition
Definition to come...
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