person
Mr. Paul Nathaneal Ellingsen JR., MFT
Mental Health Counselor in Encinitas, California
NPI 1801966825

Paul Nathaneal Ellingsen JR. is a Mental Health Counselor based in Encinitas, CA and is specialized in Mental Health. Paul Nathaneal Ellingsen JR. practices in Encinitas, CA and has the professional credentials of MFT. The NPI Number for Paul Nathaneal Ellingsen JR. is 1801966825 and holds a License No. MFC37066 (California).

The current practice location address for Paul Nathaneal Ellingsen JR. is 623 Willowspring Dr S, Encinitas, CA and can be reached out via phone at 858-736-4099 and via fax at 760-942-9597.

Location: 623 Willowspring Dr S, Encinitas, CA, 92024-4136
person
Provider Profile Details
NPI Number
1801966825
Provider Name
Paul Nathaneal Ellingsen JR.
Credential
MFT
Provider Entity Type
Individual
Gender
Male
Address
623 Willowspring Dr S, Encinitas, CA, 92024-4136
Phone Number
858-736-4099
Fax Number
760-942-9597
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
623 Willowspring Dr S
City
State
Zip
92024-4136
Phone Number
858-736-4099
Fax Number
760-942-9597
person
Provider Business Mailing Address Details
Address
623 Willowspring Dr S
City
State
Zip
92024-4136
Phone Number
858-736-4099
Fax Number
760-942-9597
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MFC37066 (California)
Definition
Definition to come...
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