Johnquetta K Ellison

NPI #1053093807 in Key West, Florida

Provider Information

NPI Number: 1053093807
Entity Type: Individual
Name: Johnquetta K Ellison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 2, 2023
Last Updated: Aug 2, 2023

Practice Location

Address: 1205 4TH ST
City: Key West
State: Florida
ZIP Code: 33040-3707
Phone: (305) 434-7660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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