Individual provider · Type 1 NPI

Tiffany Renee' Ellis

Addiction (Substance Use Disorder) Counselor · South Lake Tahoe, CA

NPI number 1699964585 Active

Practice location

1120 3rd St
South Lake Tahoe, CA 96150-3451

Call (530) 573-3386 Map

Fax (530) 543-6697

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 1699964585

Tiffany Renee' Ellis's National Provider Identifier is 1699964585, issued on Oct 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Oct 17, 2007.