Individual provider · Type 1 NPI

Jenny Ellis

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1083305973 Active

Practice location

303 E 52nd St
Los Angeles, CA 90011-4513

Call (323) 918-2139 Map

Mailing address

925 Carob Way Apt 4
Montebello, CA 90640-9403

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 1083305973

Jenny Ellis's National Provider Identifier is 1083305973, issued on May 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 19, 2023.