Ellis, Katrina L

Ellis, Katrina L is an individual health care provider with primary practice located at 111 N Hudson St , Altus OK 73521-3811. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Katrina L can be contacted via phone (580) 379-4085.

Contact Information

Primary practice address
111 N Hudson St Altus OK 73521-3811
Phone: (580) 379-4085
Fax: (580) 379-4062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005689 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X 5526 Oklahoma

Profile Details

NPI number 1275952814
LBN Legal business name Ellis, Katrina L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Apr 2nd, 2017 - about 9 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.

Request for update

Popular Providers