KATHY JEAN ELLIS

GRASS VALLEY, CA
NPI1710113980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC22869)
Enumeration Date2009-06-02
Last Update Date2009-06-02
Business Address
-- KATHY JEAN ELLIS LMFT
2059 NEVADA CITY HWY SUITE 104
GRASS VALLEY, CA 95945-7711
Phone number: 530-477-7016
Mailing Address
-- KATHY JEAN ELLIS LMFT
12036 NEVADA CITY HWY #237
GRASS VALLEY, CA 95945-8461
Phone number: 530-477-7016