Ellery, Rachelle

Ellery, Rachelle is an individual health care provider with primary practice located at 548 Se Jackson St , Roseburg OR 97470-4983. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Ellery, Rachelle can be contacted via phone (541) 672-2691.

Contact Information

Primary practice address
548 Se Jackson St Roseburg OR 97470-4983
Phone: (541) 672-2691
Fax: (833) 299-8415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF82840 California

Profile Details

NPI number 1063818490
LBN Legal business name Ellery, Rachelle
Credentials M.S
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2014
Last updated May 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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