Individual
NADEZHDA ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 CANOGA AVE, WOODLAND HILLS, CA 91367-6505
(510) 917-0212
Mailing address
24007 ARCHWOOD ST, WEST HILLS, CA 91307-3008
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
144082
CA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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