Individual
MR. CHARLES EARL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
5001 WESTBANK EXPY, MARRERO, LA 70072-2954
(504) 349-8708
(504) 349-8703
Mailing address
5001 WESTBANK EXPY, MARRERO, LA 70072-2954
(504) 349-8708
(504) 349-8703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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