Individual
ELLEN LEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 E MAIN ST, STE 208, ASHLAND, OR 97520-6801
(541) 500-8655
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(415) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5017SR
OR
1041C0700X
Clinical Social Worker
LCS11989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03906F
—
CA
Enumeration date
03/01/2007
Last updated
06/02/2020
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