Individual
ANNETTE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC-I
Contact information
Practice address
2870 S JONES BLVD STE 115A, LAS VEGAS, NV 89146-5643
(702) 755-2718
Mailing address
6552 MOUNTAINWOOD LN, LAS VEGAS, NV 89103-1037
(702) 755-2718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI5020
NV
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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