Individual provider · Type 1 NPI

Kendra Ellis

Addiction (Substance Use Disorder) Counselor · Reynoldsburg, OH

NPI number 1114641990 Active

Practice location

6895 E Main St
Reynoldsburg, OH 43068-2289

Mailing address

4214 E Main St
Columbus, OH 43213-3028

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 1114641990

Kendra Ellis's National Provider Identifier is 1114641990, issued on Sep 27, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reynoldsburg, OH. The record was last updated on Sep 27, 2022.