Individual
TAMMI ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
4171 LOMAC ST STE F1285, MONTGOMERY, AL 36106-2945
(334) 313-1731
Mailing address
4171 LOMAC ST STE F1285, MONTGOMERY, AL 36106-2945
(334) 313-1731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04192
AL
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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