Individual provider · Type 1 NPI

Jessica Marie Ellis, LCDCIII, CADC

Addiction (Substance Use Disorder) Counselor · Covington, KY

NPI number 1114487188 Active

Practice location

1450 Madison Ave
Covington, KY 41011-3369

Call (859) 444-4499 Map

Fax (859) 916-6713

Mailing address

419 Avon Ct
Crescent Park, KY 41017-1616

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X164249 (KY)

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

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About NPI 1114487188

Jessica Marie Ellis, LCDCIII, CADC's National Provider Identifier is 1114487188, issued on Mar 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Covington, KY. The record was last updated on Mar 25, 2019.