DR. MAVONNA ELLIS, PHD
Counselor - Mental Health
Active
Individual
NPI: 1124064233
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 3974 (OK) |
Frequently Asked Questions
NPI 1124064233 is the National Provider Identifier for DR. MAVONNA ELLIS, PHD, a Counselor - Mental Health provider located in Stillwater, OK. This NPI was enumerated on June 20, 2006.
DR. MAVONNA ELLIS, PHD practices at 1616 S AUGUST ST, Stillwater, OK 74074.
Quick Facts
- NPI
- 1124064233
- Type
- Individual
- Enumerated
- Jun 20, 2006
- Last Updated
- Oct 15, 2008
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