Individual
DR. NONAH MARIE ELLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD PSYCHOLOGY
Contact information
Practice address
1014 VERANDA CHASE DR, LAWRENCEVILLE, GA 30044-7178
(770) 658-9250
(770) 761-7734
Mailing address
1014 VERANDA CHASE DR, LAWRENCEVILLE, GA 30044-7178
(770) 658-9250
(770) 761-7734
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1810270
GA
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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