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Individual

DR. ARTHUR RAY ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, MS

Contact information

Practice address
LAMONT ST., QUILLEN VA MEDICAL CENTER - 116B, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
PO BOX 4000, QUILLEN VA MEDICAL CENTER - 116B, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000000561
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC0000000561
LIC PROF COUNSELOR
TN
Enumeration date
07/10/2006
Last updated
07/08/2007
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