Individual provider · Type 1 NPI
Theresa A. Ellison, CSAC
Addiction (Substance Use Disorder) Counselor · Chippewa Falls, WI
NPI number
1447574702
Active
Practice location
13 Bay St
Chippewa Falls, WI 54729-2437
Fax (715) 726-9055
Mailing address
17230 95th Ave
Chippewa Falls, WI 54729-5189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13165 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1447574702
Theresa A. Ellison, CSAC's National Provider Identifier is 1447574702, issued on Mar 16, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chippewa Falls, WI. The record was last updated on Mar 16, 2010.