Individual
KATE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLINICAL COUNSELING
Contact information
Practice address
6925 E 5TH AVE STE 101, SCOTTSDALE, AZ 85251-3837
(480) 695-1936
Mailing address
6925 E 5TH AVE STE 101, SCOTTSDALE, AZ 85251-3837
(480) 695-1936
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1919
1919
—
Enumeration date
08/20/2021
Last updated
08/20/2021
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