Individual provider · Type 1 NPI
Taryn Ellis
Professional Counselor · Snellville, GA
NPI number
1265820716
Active
Practice location
1301 Bridgewater Walk
Snellville, GA 30078-2086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | APC004509 (GA) |
Professional Counselor: Definition to come...
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About NPI 1265820716
Taryn Ellis's National Provider Identifier is 1265820716, issued on Jan 7, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Snellville, GA. The record was last updated on Jan 7, 2015.