Jacqueline Kirsten Ellis, LICSW

NPI #1952060188 in Landover, Maryland

Provider Information

NPI Number: 1952060188
Entity Type: Individual
Name: Jacqueline Kirsten Ellis, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LICSW
Enumeration Date: Dec 15, 2021
Last Updated: Dec 15, 2021

Practice Location

Address: 721 BAIN DR APT 211
City: Landover
State: Maryland
ZIP Code: 20785-5971
Phone: (202) 489-2858

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