Individual
LAKEISHA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6119 WALNUT LANDING WAY, CHESTER, VA 23831-7748
(804) 437-0427
Mailing address
6119 WALNUT LANDING WAY, CHESTER, VA 23831-7748
(804) 437-0427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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