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Dorian Ellis
Professional Counselor in Atlanta, Georgia
NPI 1912522582

Dorian Ellis is a Professional Counselor based in Atlanta, GA and is specialized in Professional. Dorian Ellis practices in Atlanta, GA. The NPI Number for Dorian Ellis is 1912522582 and holds a License No. 007688 (Georgia).

The current practice location address for Dorian Ellis is 5470 Lemoyne Dr Sw, Atlanta, GA and can be reached out via phone at 617-331-6966.

Location: 5470 Lemoyne Dr Sw, Atlanta, GA, 30344-5747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912522582
Provider Name
Dorian Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
5470 Lemoyne Dr Sw, Atlanta, GA, 30344-5747
Phone Number
617-331-6966
Fax Number
Provider Enumeration Date
06/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5470 Lemoyne Dr Sw
City
Atlanta
State
Georgia
Zip
30331-9206
Phone Number
617-331-6966
Fax Number
person
Provider Business Mailing Address Details
Address
5470 Lemoyne Dr Sw
City
Atlanta
State
Georgia
Zip
30331-9206
Phone Number
617-331-6966
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
007688 (Georgia)
Definition
Definition to come...
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