Individual provider · Type 1 NPI

William Bradford Ellis, CASAC

Addiction (Substance Use Disorder) Counselor · Troy, NY

NPI number 1619601101 Active

Practice location

2435 6th Ave
Troy, NY 12180-2227

Call (518) 274-5143 Map

Mailing address

12 The Mall St
Amsterdam, NY 12010-1224

Other practice locations

  • 600 Franklin St Ste 204, Schenectady, NY 12305-2100 · (518) 372-7031

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X35967 (NY)

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

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About NPI 1619601101

William Bradford Ellis, CASAC's National Provider Identifier is 1619601101, issued on Jul 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Troy, NY. The record was last updated on Nov 28, 2022.