KELLY A ELLIS

PALM DESERT, CA
NPI1073548186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.0992416)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  LCS 16686)
Enumeration Date2006-07-11
Last Update Date2023-08-01
Business Address
KELLY A ELLIS LCSW
39760 BLACK MESA LN
PALM DESERT, CA 92260
Phone number: 760-832-4904
Mailing Address
KELLY A ELLIS LCSW
PO BOX 2805
RANCHO MIRAGE, CA 92270-2805
Phone number: 760-832-4904