Individual
ANIKA ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N INDIAN CREEK DR, CLARKSTON, GA 30021-2221
(404) 468-6603
Mailing address
3500 KILPATRICK LN, SNELLVILLE, GA 30039-8642
(404) 468-6603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007066
GA
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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