Individual provider · Type 1 NPI

Tanya Ellis

Addiction (Substance Use Disorder) Counselor · Kennett, MO

NPI number 1659828242 Active

Practice location

925 Highway Vv
Kennett, MO 63857-0071

Call (573) 888-6545 Map

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 1659828242

Tanya Ellis's National Provider Identifier is 1659828242, issued on Sep 1, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kennett, MO. The record was last updated on Sep 1, 2016.