Individual provider · Type 1 NPI

Ellery Farrell

Mental Health Counselor · Camilla, GA

NPI number 1174072540 Active

Practice location

198 S Macarthur Dr
Camilla, GA 31730-6370

Call (229) 336-2247 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174072540

Ellery Farrell's National Provider Identifier is 1174072540, issued on Sep 27, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camilla, GA. The record was last updated on Sep 27, 2016.