Individual
SELENA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10500 SAM RUSHING RD, BATON ROUGE, LA 70816-2000
(225) 435-9602
Mailing address
16227 WOODLAWN ACRES AVE, BATON ROUGE, LA 70817-5655
(817) 240-4734
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1341
LA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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