Individual
JOSHUA DAVID ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12530 ROCK ROSE LN, JACKSONVILLE, FL 32225-4217
(925) 487-5370
Mailing address
12530 ROCK ROSE LN, JACKSONVILLE, FL 32225-4217
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
127125
CA
Other
Enumeration date
07/14/2017
Last updated
03/19/2025
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