Ellison, Mary Mae

Ellison, Mary Mae is an individual health care provider with primary practice located at 3301 E 12Th St Ste 259 , Oakland CA 94601-2940. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ellison, Mary Mae can be contacted via phone (510) 269-9030.

Contact Information

Primary practice address
3301 E 12Th St Ste 259 Oakland CA 94601-2940
Phone: (510) 269-9030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1851831754
LBN Legal business name Ellison, Mary Mae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Oct 30th, 2022 - about 3 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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