person
Mrs. Tierra Domonique Ellison, LPC
Mental Health Counselor in Norfolk, Virginia
NPI 1912786393

Tierra Domonique Ellison is a Mental Health Counselor based in Norfolk, VA and is specialized in Mental Health. Tierra Domonique Ellison practices in Norfolk, VA and has the professional credentials of LPC. The NPI Number for Tierra Domonique Ellison is 1912786393 and holds a License No. 0701012890 (Virginia).

The current practice location address for Tierra Domonique Ellison is 7460 Central Business Park Dr, Norfolk, VA and can be reached out via phone at 757-644-6391 and via fax at 757-622-2011.

Location: 7460 Central Business Park Dr, Norfolk, VA, 23513-2818
person
Provider Profile Details
NPI Number
1912786393
Provider Name
Tierra Domonique Ellison
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
7460 Central Business Park Dr, Norfolk, VA, 23513-2818
Phone Number
757-644-6391
Fax Number
757-622-2011
Provider Enumeration Date
09/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7460 Central Business Park Dr
City
State
Zip
23513-2818
Phone Number
757-644-6391
Fax Number
757-622-2011
person
Provider Business Mailing Address Details
Address
7460 Central Business Park Dr
City
State
Zip
23513-2818
Phone Number
757-644-6391
Fax Number
757-622-2011
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701012890 (Virginia)
Definition
Definition to come...
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