Individual
KATIE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAPC, NCC
Contact information
Practice address
410 PEACHTREE PKWY STE 4245, CUMMING, GA 30041-7407
(678) 722-1031
Mailing address
4846 HIGH FOREST DR, DULUTH, GA 30096-6048
(252) 227-8575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC004497
GA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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