Individual
RACHELLE ELLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
548 SE JACKSON ST, ROSEBURG, OR 97470-4983
(541) 672-2691
(833) 299-8415
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(833) 299-8415
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF82840
CA
Other
Enumeration date
11/12/2014
Last updated
05/13/2021
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