| Ellen Ross Hodge | |
|
7326 13th Ave Nw Apt 3 Seattle WA 98117-5374 | |
| (206) 356-0803 | |
| Not Available |
| Full Name | Ellen Ross Hodge |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7326 13th Ave Nw Apt 3, Seattle, Washington |
| Authorized Official Name and Position | Ellen Abra Ross (OWNER, MANAGER, AND HEAD THERAPIST) |
| Authorized Official Contact | 2063560803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Ross Hodge Po Box 17188 Seattle WA 98127-0888 Ph: (206) 356-0803 | Ellen Ross Hodge 7326 13th Ave Nw Apt 3 Seattle WA 98117-5374 Ph: (206) 356-0803 |
| NPI Number | 1093477390 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093477390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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