Kim Ellis is a Counselor based in Oakland, CA. Kim Ellis practices in Oakland, CA. The NPI Number for Kim Ellis is 1780176008 and holds a License No. (California).
The current practice location address for Kim Ellis is 629 Oakland Ave, Oakland, CA and can be reached out via phone at 415-340-2504.
Location: 629 Oakland Ave, Oakland, CA, 94611-4567
Provider Profile Details
NPI Number
1780176008
Provider Name
Kim Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
629 Oakland Ave, Oakland, CA, 94611-4567
Phone Number
415-340-2504
Fax Number
Provider Enumeration Date
06/01/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
629 Oakland Ave
City
State
Zip
94611-4567
Phone Number
415-340-2504
Fax Number
Provider Business Mailing Address Details
Address
629 Oakland Ave
City
State
Zip
94611-4567
Phone Number
415-340-2504
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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