Ellis, Jacqueline C

Ellis, Jacqueline C is an individual health care provider with primary practice located at 415 N Jackson St P.O. Drawer 1348, Americus GA 31709-3015. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Jacqueline C can be contacted via phone (229) 931-2470.

Contact Information

Primary practice address
415 N Jackson St P.O. Drawer 1348 Americus GA 31709-3015
Phone: (229) 931-2470
Fax: (229) 931-2474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004305 Georgia

Profile Details

NPI number 1417129859
LBN Legal business name Ellis, Jacqueline C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2008
Last updated Mar 26th, 2008 - about 16 years 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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