Individual provider · Type 1 NPI

Lisa M. Ellison, LAC

Addiction (Substance Use Disorder) Counselor · Winfield, KS

NPI number 1659633642 Active

Practice location

2720 E 12th Ave
Winfield, KS 67156-4114

Fax (620) 221-6253

Mailing address

900 E Laharpe St
Kirksville, MO 63501-4520

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X715 (KS)

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

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About NPI 1659633642

Lisa M. Ellison, LAC's National Provider Identifier is 1659633642, issued on Jun 14, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winfield, KS. The record was last updated on Jun 14, 2012.