Individual provider · Type 1 NPI
Stephen C. Ellison, LCDC
Addiction (Substance Use Disorder) Counselor · Midland, TX
NPI number
1295544195
Active
Practice location
444 W Pine Ave
Midland, TX 79705-6634
Mailing address
PO Box 10302
Midland, TX 79702-7302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15284 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295544195
Stephen C. Ellison, LCDC's National Provider Identifier is 1295544195, issued on Jan 6, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Midland, TX. The record was last updated on Aug 16, 2025.