person
Deloria Jean Ellis, ALC
Mental Health Counselor in Madison, Alabama
NPI 1750087417

Deloria Jean Ellis is a Mental Health Counselor based in Huntsville, AL and is specialized in Mental Health. Deloria Jean Ellis practices in Madison, AL and has the professional credentials of ALC. The NPI Number for Deloria Jean Ellis is 1750087417 and holds a License No. C4153A (Alabama).

The current practice location address for Deloria Jean Ellis is 8089 Highway 72 W Ste D, Madison, AL and can be reached out via phone at 256-489-0025 and via fax at 256-325-0429.

Location: 8089 Highway 72 W Ste D, Madison, AL, 35805-4834
person
Provider Profile Details
NPI Number
1750087417
Provider Name
Deloria Jean Ellis
Credential
ALC
Provider Entity Type
Individual
Gender
Female
Address
8089 Highway 72 W Ste D, Madison, AL, 35805-4834
Phone Number
256-489-0025
Fax Number
256-325-0429
Provider Enumeration Date
02/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8089 Highway 72 W Ste D
City
State
Zip
35758-9531
Phone Number
256-489-0025
Fax Number
256-325-0429
person
Provider Business Mailing Address Details
Address
8089 Highway 72 W Ste D
City
State
Zip
35758-9531
Phone Number
256-489-0025
Fax Number
256-325-0429
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C4153A (Alabama)
Definition
Definition to come...
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