Individual
AUDRENE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 N WOODROW ST, LITTLE ROCK, AR 72205-4341
(501) 265-0046
(501) 663-2234
Mailing address
101 N WOODROW ST, LITTLE ROCK, AR 72205-4341
(501) 265-0046
(501) 265-0057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P2211007
AR
101YP2500X
Professional Counselor
Primary
P2211007
AR
Other
Enumeration date
10/18/2021
Last updated
01/31/2024
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