Individual
GABRIEL MAXWELL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2219 LOWES DR W, CLARKSVILLE, TN 37040-6888
(931) 614-7397
Mailing address
3678 FOX TAIL DR, CLARKSVILLE, TN 37040-6246
(956) 229-9201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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