Jeanette Ellis

NPI #1659819555 in Reserve, Louisiana

Provider Information

NPI Number: 1659819555
Entity Type: Individual
Name: Jeanette Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 10, 2017
Last Updated: Feb 10, 2017

Practice Location

Address: 245 HOMEWOOD PL
City: Reserve
State: Louisiana
ZIP Code: 70084-5527
Phone: (504) 559-0039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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