Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nolan B Ellis

Individual provider Mental Health Counselor · NPI 1700587995

Nolan B Ellis is a Mental Health Counselor in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1974 Las Gallinas Ave
San Rafael, CA 94903-1740
Phone: (415) 302-2344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 138041 (CA)

Record details

NPI number1700587995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2023
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address1974 Las Gallinas Ave, San Rafael, CA 94903-1740

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