Individual provider · Type 1 NPI

Nolan B. Ellis

Mental Health Counselor · San Rafael, CA

NPI number 1700587995 Active

Practice location

1974 Las Gallinas Ave
San Rafael, CA 94903-1740

Call (415) 302-2344 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X138041 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1700587995

Nolan B. Ellis's National Provider Identifier is 1700587995, issued on Mar 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Mar 14, 2023.