LA CANDRA VIRGINIA ELLIS

OAKLAND, CA
NPI1518148253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-11-23
Last Update Date2007-11-23
Business Address
-- LA CANDRA VIRGINIA ELLIS
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111
Mailing Address
-- LA CANDRA VIRGINIA ELLIS
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111