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Individual

VERNITA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
10543 S CRATER RD, SOUTH PRINCE GEORGE, VA 23805-7333
(804) 431-5585
(804) 431-5820
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
(864) 527-3145
(864) 990-0653

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/06/2017
Last updated
11/06/2017
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