Individual
HOLLY ELLINGBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.AMFT, LPC
Contact information
Practice address
4500 I 55 N STE 293, JACKSON, MS 39211-5966
(601) 982-5943
(601) 362-4089
Mailing address
4500 I 55 N STE 293, JACKSON, MS 39211-5966
(601) 982-5943
(601) 362-4089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1409
MS
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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