Individual provider · Type 1 NPI
Joan Marie Ellis, M.A., LPC, LCDC
Addiction (Substance Use Disorder) Counselor · San Antonio, TX
NPI number
1255419685
Active
Practice location
7410 Blanco Rd, Ste. 100
San Antonio, TX 78216-4363
Fax (210) 344-9255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1196 (TX) |
| Mental Health Counselor | 101YM0800X | 05287 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1255419685
Joan Marie Ellis, M.A., LPC, LCDC's National Provider Identifier is 1255419685, issued on Nov 2, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Antonio, TX. The record was last updated on Sep 11, 2025.