Individual
MISS ELLISHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 ROYAL HEIGHTS RD, BELLEVILLE, IL 62226-5457
(618) 394-5900
Mailing address
900 ROYAL HEIGHTS RD, BELLEVILLE, IL 62226-5457
(618) 394-5900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178020819
IL
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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