Kelly A Ellis, LCSW
NPI #1073548186 in Palm Desert, California
Provider Information
- NPI Number
- 1073548186
- Entity Type
- Individual
- Name
- Kelly A Ellis, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Aug 1, 2023
Practice Location
- Address
- 39760 BLACK MESA LN
- City
- Palm Desert
- State
- California
- ZIP Code
- 92260
- Phone
- (760) 832-4904
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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