Ellis, Jeffrey S

Ellis, Jeffrey S is an sole proprietor health care provider with primary practice located at 2287 E Dudley St , Pasadena CA 91104-4126. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Ellis, Jeffrey S can be contacted via phone (626) 794-8456.

Contact Information

Primary practice address
2287 E Dudley St Pasadena CA 91104-4126
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC33172 California

Profile Details

NPI number 1518133198
LBN Legal business name Ellis, Jeffrey S
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated May 5th, 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.

Request for update

Popular Providers