Individual
ALLISON ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-ASSOCIATE
Contact information
Practice address
2008 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-6514
(415) 717-0515
Mailing address
1009 EVERGREEN PL, SOUTHLAKE, TX 76092-1386
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204324
TX
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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