Individual
GUAN Q ELLERBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LSW, LMHC
Contact information
Practice address
19 RIVERSIDE AVE, BROCKTON, MA 02301-6898
(508) 690-6069
(781) 784-0996
Mailing address
500 WESTGATE DR STE 1006, BROCKTON, MA 02301-1855
(508) 690-6069
(857) 219-5242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11286
MA
104100000X
Social Worker
314805
MA
Other
Enumeration date
11/20/2013
Last updated
09/17/2025
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