Individual provider · Type 1 NPI

Kaleigh Nicole Ellis, B.A, LADC II

Addiction (Substance Use Disorder) Counselor · Lynn, MA

NPI number 1023619301 Active

Practice location

11 Circle Ave
Lynn, MA 01905-3050

Call (781) 346-9941 Map

Mailing address

27 Quarry Ln Apt 9306
Malden, MA 02148-7990

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25552 (MA)

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

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About NPI 1023619301

Kaleigh Nicole Ellis, B.A, LADC II's National Provider Identifier is 1023619301, issued on Nov 4, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lynn, MA. The record was last updated on Jun 30, 2026.