Individual
DR. JESSICA RENE ELLERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, PPS
Contact information
Practice address
8510 LAKE KNOLL AVE UNIT C, GARDEN GROVE, CA 92844-1275
(714) 552-8079
Mailing address
8510 LAKE KNOLL AVE UNIT C, GARDEN GROVE, CA 92844-1275
(714) 552-8079
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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