MS. Angela Leslie Ellis, LPC

NPI #1306070958 in Tucker, Georgia

Provider Information

NPI Number
1306070958
Entity Type
Individual
Name
MS. Angela Leslie Ellis, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
May 12, 2009
Last Updated
May 12, 2009

Practice Location

Address
100 CRESCENT CENTER PKWY
Address 2
SUITE 1290
City
Tucker
State
Georgia
ZIP Code
30084-7060
Phone
(770) 621-0479

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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