JAY THOMAS ELLISON

CHICO, CA
NPI1194069013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
MR. JAY THOMAS ELLISON
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
Mailing Address
MR. JAY THOMAS ELLISON
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
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