Organization · Type 2 NPI
John Ellison Community Recovery Center
Addiction (Substance Use Disorder) Counselor · Jacksonville, FL
NPI number
1306478797
Active
Practice location
6320 Saint Augustine Rd Ste 9A
Jacksonville, FL 32217-2813
Fax (904) 619-0984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306478797
John Ellison Community Recovery Center's National Provider Identifier is 1306478797, issued on Feb 4, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 4, 2020.