Dominique Ellison is a mental health counselor in Shreveport, LA. Dominique Ellison NPI is 1144754482. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
301 DALZELL ST
SHREVEPORT, LA
ZIP 71104-431
Phone: (318) 200-9156
The enumeration date for this NPI number is 4/13/2017 and was last updated on 4/13/2017.