Individual provider · Type 1 NPI

Nicole Marie Ellison

Addiction (Substance Use Disorder) Counselor · Sault Sainte Marie, MI

NPI number 1609346980 Active

Practice location

301 E Spruce St
Sault Sainte Marie, MI 49783-2134

Call (906) 635-5542 Map

Fax (888) 977-2109

Mailing address

97 S 4th St Ste C
Ishpeming, MI 49849-2168

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 1609346980

Nicole Marie Ellison's National Provider Identifier is 1609346980, issued on Nov 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sault Sainte Marie, MI. The record was last updated on Nov 29, 2018.