NPI 1063818490

Rachelle Ellery, MS

Practitioner Marriage & Family Therapist Roseburg, OR

Practice location

Address: 548 SE Jackson St, Roseburg, OR 97470-4983
Phone: (541) 672-2691
Fax: (833) 299-8415
Mailing address: PO Box 1121, Roseburg, OR 97470-0254

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence IMF82840 (CA)

Other Marriage & Family Therapist providers in Oregon →

Registry record

NPI: 1063818490
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2014
Record last updated: 13 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.