MR. John P Ely, MFTI
NPI #1124361571 in Lucerne, California
Provider Information
- NPI Number
- 1124361571
- Entity Type
- Individual
- Name
- MR. John P Ely, MFTI
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFTI
- Enumeration Date
- Apr 4, 2013
- Last Updated
- Jul 2, 2013
Practice Location
- Address
- 6302 THIRTEENTH AVE
- Address 2
- BOX 1024
- City
- Lucerne
- State
- California
- ZIP Code
- 95458-1024
- Phone
- (707) 274-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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