Individual provider · Type 1 NPI

Charles Earl Ellis, COUNSELOR

Mental Health Counselor · Marrero, LA

NPI number 1891046306 Active

Practice location

5001 Westbank Expy
Marrero, LA 70072-2954

Fax (504) 349-8703

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891046306

Charles Earl Ellis, COUNSELOR's National Provider Identifier is 1891046306, issued on Sep 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marrero, LA. The record was last updated on Sep 24, 2012.