Individual
ARIEL MADISON ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP, MA, PPS, NCSP
Contact information
Practice address
3 EL CORTEZ CIR, CHICO, CA 95926-1210
(530) 332-8249
Mailing address
550 VALLOMBROSA AVENUE PO BOX #201, CHICO, CA 95926
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP4456
CA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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