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Mary Mae Ellison
Counselor in Oakland, California
NPI 1851831754

Mary Mae Ellison is a Counselor based in Suisun City, CA. Mary Mae Ellison practices in Oakland, CA. The NPI Number for Mary Mae Ellison is 1851831754 and holds a License No. (California).

The current practice location address for Mary Mae Ellison is 3301 E 12Th St Ste 259, Oakland, CA and can be reached out via phone at 510-269-9030.

Location: 3301 E 12Th St Ste 259, Oakland, CA, 94585-1933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851831754
Provider Name
Mary Mae Ellison
Credential
Provider Entity Type
Individual
Gender
Female
Address
3301 E 12Th St Ste 259, Oakland, CA, 94585-1933
Phone Number
510-269-9030
Fax Number
Provider Enumeration Date
02/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3301 E 12Th St Ste 259
City
Oakland
State
California
Zip
94601-2940
Phone Number
510-269-9030
Fax Number
person
Provider Business Mailing Address Details
Address
3301 E 12Th St Ste 259
City
Oakland
State
California
Zip
94601-2940
Phone Number
510-269-9030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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