Individual provider · Type 1 NPI

Dematra Ellison

Mental Health Counselor · San Francisco, CA

NPI number 1609227271 Active

Practice location

1305 Evans Ave
San Francisco, CA 94124-1705

Mailing address

755 S Van Ness Ave
San Francisco, CA 94110-1908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609227271

Dematra Ellison's National Provider Identifier is 1609227271, issued on Jun 24, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Francisco, CA. The record was last updated on Jun 24, 2016.