DESTINY ELLIS, LPC-S

LPC-S

Counselor

NPI: 1790205094Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

10335(OK)

Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2019

Contact & Hours

Address: 8551 N 125TH EAST AVE STE 250
OWASSO, OK 74055
Phone: (918) 760-5243

Location

Practice Location

8551 N 125TH EAST AVE STE 250, OWASSO, OK

Quick Facts

NPI: 1790205094
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 3
Locations: 1
Years in Practice: 7

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