Individual provider · Type 1 NPI

Katyra Ellis

Addiction (Substance Use Disorder) Counselor · Gainesville, FL

NPI number 1558860189 Active

Practice location

4300 SW 13th St
Gainesville, FL 32608-4006

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 1558860189

Katyra Ellis's National Provider Identifier is 1558860189, issued on Feb 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gainesville, FL. The record was last updated on Feb 9, 2018.