Individual provider · Type 1 NPI

Matt Ellenwood

Addiction (Substance Use Disorder) Counselor · Wheat Ridge, CO

NPI number 1548799760 Active

Practice location

4851 Independence St Ste 200
Wheat Ridge, CO 80033-6712

Fax (303) 432-5071

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1548799760

Matt Ellenwood's National Provider Identifier is 1548799760, issued on Jun 9, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wheat Ridge, CO. The record was last updated on Jul 21, 2022.