MEDICARE: ELLIE ANNE MESSINGER-ADAMS PCCI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	14196	CA

General Provider Information

NPI Number	:	1538679725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIE ANNE MESSINGER-ADAMS PCCI

Provider Business Mailing Address
First Line	:	334 VIA VERA CRUZ STE 255
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-2642
Country	:	US
Telephone Number	:	760-428-1239
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 VIA VERA CRUZ STE 255
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-2642
Country	:	US
Telephone Number	:	760-428-1239
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2017
Last Update Date	:	01/12/2024

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