Individual provider · Type 1 NPI

Priscilla Ellis-White

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1003185273 Active

Practice location

8626 Lower Sacramento Rd, Suite #41
Stockton, CA 95210-1835

Call (209) 478-2487 Map

Fax (209) 478-1476

Mailing address

1779 Erickson Cir
Stockton, CA 95206-6314

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003185273

Priscilla Ellis-White's National Provider Identifier is 1003185273, issued on Dec 18, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Dec 18, 2011.