Individual provider · Type 1 NPI

Mariah Ashley Ellis, LADC, LSW

Addiction (Substance Use Disorder) Counselor · Fergus Falls, MN

NPI number 1700439403 Active

Practice location

530 W Fir Ave
Fergus Falls, MN 56537-1364

Fax (218) 998-8150

Mailing address

568 Westview Ave
Fergus Falls, MN 56537-1354

Other practice locations

  • 721 S Minnesota St, Crookston, MN 56716-1800 · (218) 281-9511
  • 1 Serenity Ln, Coburg, OR 97408-9350 · (541) 687-1110

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305466 (MN)

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

3 other providers at this address

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About NPI 1700439403

Mariah Ashley Ellis, LADC, LSW's National Provider Identifier is 1700439403, issued on Jul 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fergus Falls, MN. The record was last updated on Jul 8, 2024.