Mr. Randy Wayne Ellis
Mr. Randy Wayne Ellis is a Mental Health Counselor in Red Bluff, California. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1445 Vista WayRed Bluff, CA 96080
Phone: (530) 529-5819
Fax: (530) 529-4002
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1174605125 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 555 Hunt House, Red Bluff, CA 96080 |
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