Organization
CENTER FOR HEALING AND TRANSFORMATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA ELLIS MFT (MEMBER)
(415) 694-2201
Entity
Organization
Contact information
Practice address
222 RACHEL CARSON WAY, ITHACA, NY 14850-8401
(415) 694-2201
Mailing address
222 RACHEL CARSON WAY, ITHACA, NY 14850-8401
(415) 694-2201
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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