Individual
DR. ADRIENNE BENITA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7801 OLD BRANCH AVE, SUITE 212, CLINTON, MD 20735-1608
(301) 856-8516
Mailing address
10805 SLIPPERY ELM CT, CLINTON, MD 20735-4097
(301) 894-7421
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3283
MD
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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