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1811779614
NICOLE ELLIS
SAN ANTONIO, TX
NPI
1811779614
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Former Name
NICOLE SANICH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 92596)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
NICOLE ELLIS LPC
7400 BLANCO RD STE 115
SAN ANTONIO, TX 78216-4361
Phone number: 210-982-0872
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Mailing Address
NICOLE ELLIS LPC
6730 N LOOP 1604 E ATP 3110
SAN ANTONIO, TX 78247
Phone number:
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