Individual
ANNE-MICHELLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2743 ORANGE ST, RIVERSIDE, CA 92501-2503
(915) 788-9515
Mailing address
2743 ORANGE ST, RIVERSIDE, CA 92501-2503
(915) 788-9515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
ASW85397
CA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
06/14/2022
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