Individual
ABBEGAIL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 MULBERRY, AFTON, OK 74331-8902
(918) 325-1141
Mailing address
504 MULBERRY, AFTON, OK 74331-8902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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