Individual provider · Type 1 NPI

Bernadine Ellis

Addiction (Substance Use Disorder) Counselor · Dover, OH

NPI number 1336628239 Active

Practice location

115 S Wooster Ave
Dover, OH 44622-1944

Call (833) 510-4357 Map

Fax (866) 460-2997

Mailing address

615 Elsinore Pl
Cincinnati, OH 45202-1459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X150171 (OH)

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

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About NPI 1336628239

Bernadine Ellis's National Provider Identifier is 1336628239, issued on Aug 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dover, OH. The record was last updated on Aug 29, 2022.