Individual
ANGLEA MARIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
407 W WATER ST, KERRVILLE, TX 78028-4243
(830) 928-5902
Mailing address
407 W WATER ST, KERRVILLE, TX 78028-4243
(830) 928-5902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73131
TX
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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