Individual provider · Type 1 NPI

Chrystal Jean Ellis

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1427528751 Active

Practice location

1011 Commercial St NE Ste 110
Salem, OR 97301-1036

Call (503) 983-9900 Map

Fax (503) 983-9899

Other practice locations

  • 1160 Liberty St SE, Salem, OR 97302-4143 · (503) 391-9762
  • 213 NE 10th St, Mcminnville, OR 97128-4825 · (503) 895-0934

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1427528751

Chrystal Jean Ellis's National Provider Identifier is 1427528751, issued on Nov 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Oct 5, 2023.