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Individual

DR. KELLEY HUNTER ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8438 OAK ST STE B, NEW ORLEANS, LA 70118-2046
(504) 390-2132
Mailing address
215 FAIRWAY DR, NEW ORLEANS, LA 70124-1018
(504) 390-2132

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5509
LA
1041C0700X
Clinical Social Worker
5509
LA

Other

Enumeration date
04/22/2025
Last updated
04/22/2025
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