Individual provider · Type 1 NPI

Jeremy Ellis, CDCA

Addiction (Substance Use Disorder) Counselor · South Point, OH

NPI number 1306359393 Active

Practice location

48 Private Drive 339
South Point, OH 45680-8919

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.164482 (OH)
Case Manager/Care Coordinator 171M00000XNone listed

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

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About NPI 1306359393

Jeremy Ellis, CDCA's National Provider Identifier is 1306359393, issued on Nov 13, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Point, OH. The record was last updated on Apr 5, 2018.