Individual provider · Type 1 NPI

Fara S. Ellis, RAS

Addiction (Substance Use Disorder) Counselor · Mojave, CA

NPI number 1053608091 Active

Practice location

16940 Highway 14 Ste F
Mojave, CA 93501-1238

Call (661) 824-5020 Map

Fax (661) 824-5026

Mailing address

21521 Westwood Blvd
Tehachapi, CA 93561-9445

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XE0703181755 (CA)

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

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About NPI 1053608091

Fara S. Ellis, RAS's National Provider Identifier is 1053608091, issued on Jun 28, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mojave, CA. The record was last updated on Aug 31, 2016.