Individual provider · Type 1 NPI
Jaimee Leigh Ellerbrock
Addiction (Substance Use Disorder) Counselor · Springfield, OH
NPI number
1740913060
Active
Practice location
2624 Lexington Ave
Springfield, OH 45505-2620
Fax (937) 322-4900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.181883 (OH) |
| Case Manager/Care Coordinator | 171M00000X | CDCA.181883 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCDCIII.162695 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740913060
Jaimee Leigh Ellerbrock's National Provider Identifier is 1740913060, issued on Jul 5, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, OH. The record was last updated on May 28, 2024.