Individual provider · Type 1 NPI

Jeffery Ellis

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1194139014 Active

Practice location

600 S Preston St
Louisville, KY 40202-1716

Call (502) 583-3951 Map

Mailing address

211 Whippoorwill Dr
Louisville, KY 40222-4837

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 1194139014

Jeffery Ellis's National Provider Identifier is 1194139014, issued on Jun 18, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Jun 18, 2014.