Individual
NAN ELLZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1550 THOUSAND OAKS DR, SUITE 1603, SAN ANTONIO, TX 78232-2399
(210) 325-3242
Mailing address
1550 THOUSAND OAKS DR, SUITE 1603, SAN ANTONIO, TX 78232-2399
(210) 325-3242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7653
TX
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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