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Individual
MONA SWAFFORD ELLIS
Active
Individual
MONA SWAFFORD ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, CHW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13157
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13157
TX
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
TX
171M00000X
Case Manager/Care Coordinator
—
NULL
172A00000X
Driver
—
NULL
172V00000X
Community Health Worker
1944
TX
174H00000X
Health Educator
1944
TX
251S00000X
Community/Behavioral Health Agency
—
NULL
347C00000X
Private Vehicle
06046953
TX
Other
Enumeration date
09/14/2011
Last updated
10/01/2015
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