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ELIZABETH JANE ELLSWORTH M.F.T.
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1235313545
Individual Registrant: ELIZABETH JANE ELLSWORTH M.F.T.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
999 ADAMS ST STE 300 SAINT HELENA, CA 94574-1149 US
Tel: 707-963-1374 Fax: 707-965-2724
Tel: 707-963-1374 Fax: 707-965-2724
Contact information for business:
999 ADAMS ST STE 300 SAINT HELENA, CA 94574-1149 US
Tel: 707-963-1374 Fax: 707-965-2724
Tel: 707-963-1374 Fax: 707-965-2724
Registration Information:
NPI: 1235313545
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | 39241 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
