Individual
CHARLENE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 S JEFFERSON DAVIS PKWY, STE 212, NEW ORLEANS, LA 70125-1200
(504) 821-7233
(504) 304-2275
Mailing address
1050 S JEFFERSON DAVIS PKWY STE 212, NEW ORLEANS, LA 70125-1251
(504) 821-7233
(504) 304-2275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
11/08/2019
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