Individual
MS. JOAN MARIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, LCDC
Contact information
Practice address
7410 BLANCO RD, STE. 100, SAN ANTONIO, TX 78216-4363
(210) 525-1979
(210) 344-9255
Mailing address
7410 BLANCO RD, STE. 100, SAN ANTONIO, TX 78216-4363
(210) 525-1979
(210) 344-9255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1196
TX
101YM0800X
Mental Health Counselor
05287
TX
Other
Enumeration date
11/02/2006
Last updated
09/11/2025
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