Ellam, Kijuana

Ellam, Kijuana is an sole proprietor health care provider with primary practice located at 1500 The Xing , Rock Hill SC 29732-7207. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ellam, Kijuana can be contacted via phone (803) 379-4118.

Contact Information

Primary practice address
1500 The Xing Rock Hill SC 29732-7207
Phone: (803) 379-4118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 8470 South Carolina
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8470 South Dakota

Profile Details

NPI number 1750144705
LBN Legal business name Ellam, Kijuana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2024
Last updated Feb 2nd, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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