Kelli Marie Ellis, LPC

NPI #1679842785 in Oologah, Oklahoma

Provider Information

NPI Number: 1679842785
Entity Type: Individual
Name: Kelli Marie Ellis, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Dec 19, 2011
Last Updated: Sep 22, 2021

Practice Location

Address: 15210 S 4060 RD LOT B
City: Oologah
State: Oklahoma
ZIP Code: 74053-3735
Phone: (918) 230-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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