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Individual

KEASHA T WALTON ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAY.D

Contact information

Practice address
8455 OFFENHAUSER DR APT 1218, RENO, NV 89511
(775) 484-6195
(916) 473-5766
Mailing address
8455 OFFENHAUSER DR APT 1218, RENO, NV 89511-1754
(775) 484-6195
(916) 473-5766

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5120
NV

Other

Enumeration date
05/27/2009
Last updated
05/14/2026
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