NOLAN B ELLIS

SAN RAFAEL, CA
NPI1700587995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  138041)
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
NOLAN B ELLIS
1974 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-1740
Phone number: 415-302-2344
Mailing Address
NOLAN B ELLIS
1974 LAS GALLINAS AVE
SAN RAFAEL, CA 94903-1740
Phone number: 415-302-2344
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