Individual
CRYSTAL D. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 S 2ND ST UNIT 1E, CHELAN, WA 98816-9666
(509) 393-5932
Mailing address
PO BOX 1134, CHELAN, WA 98816-1134
(559) 250-6643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60949824
WA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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