Individual
JEFFERY ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2795 MAIN ST W, SNELLVILLE, GA 30078-3164
(678) 344-7836
Mailing address
2795 MAIN ST W, SNELLVILLE, GA 30078-3164
(678) 344-7836
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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