Individual
MS. RONELLA N ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
8404 SIX FORKS RD, 201, RALEIGH, NC 27615-3072
(919) 971-9317
(919) 710-8228
Mailing address
7413 SIX FORKS RD, 208, RALEIGH, NC 27615-6164
(919) 971-9317
(919) 710-8228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1292
NC
103K00000X
Behavior Analyst
1292
NC
106H00000X
Marriage & Family Therapist
Primary
1292
NC
Other
Enumeration date
12/03/2009
Last updated
01/03/2013
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