Individual provider · Type 1 NPI

Legrante Vernon Ellis, CADC-CAS

Addiction (Substance Use Disorder) Counselor · Seaside, CA

NPI number 1285121053 Active

Practice location

1152 Sonoma Ave
Seaside, CA 93955-5218

Fax (831) 899-7405

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC035750915 (CA)

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

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About NPI 1285121053

Legrante Vernon Ellis, CADC-CAS's National Provider Identifier is 1285121053, issued on Apr 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Seaside, CA. The record was last updated on Apr 17, 2018.