Individual
MRS. BUFFIE BAKER ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.A.
Contact information
Practice address
2005 FLINT LANE, GASTONIA, NC 28054
(704) 865-4068
Mailing address
2763 NC HIGHWAY 150 EAST, LICOLNTON, NC 28092-7615
(704) 735-2050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A8675
NC
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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