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Individual
MRS. NIKIS ELLIS
Active
Individual
MRS. NIKIS ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
99785
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
57500
TX
101YP2500X
Professional Counselor
Primary
85192
TX
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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