Individual
LINDA J ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 CORONA DRIVE, OKLAHOMA CITY, OK 73149
(405) 388-9245
Mailing address
108 CORONA DR, OKLAHOMA CITY, OK 73149-1808
(405) 388-3299
(405) 635-9245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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