JOSHUA KYLE ELLIS

VIDALIA, GA
NPI1811376429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: GA  LPC008312)
Enumeration Date2015-05-28
Last Update Date2015-05-28
Business Address
MR. JOSHUA KYLE ELLIS LPC
500 JACKSON ST
VIDALIA, GA 30474-4730
Phone number: 912-253-8003
Mailing Address
MR. JOSHUA KYLE ELLIS LPC
500 JACKSON ST
VIDALIA, GA 30474-4730
Phone number: 912-253-8003