Individual provider · Type 1 NPI

Ellery Holesapple, CDPT

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1487045068 Active

Practice location

1601 E 4th Plain Blvd
Vancouver, WA 98661-3753

Call (360) 397-8246 Map

Fax (360) 397-8458

Mailing address

PO Box 1678
Vancouver, WA 98668-1678

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60494014 (WA)

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

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About NPI 1487045068

Ellery Holesapple, CDPT's National Provider Identifier is 1487045068, issued on Feb 18, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Feb 18, 2015.