Individual provider · Type 1 NPI

Michelle M. Ellis, MS, CASAC, ICADC, CADT

Addiction (Substance Use Disorder) Counselor · Ithaca, NY

NPI number 1760737266 Active

Practice location

201 E Green St, Suite 500
Ithaca, NY 14850-5635

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17385 (NY)

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

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About NPI 1760737266

Michelle M. Ellis, MS, CASAC, ICADC, CADT's National Provider Identifier is 1760737266, issued on Jul 20, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ithaca, NY. The record was last updated on Jul 20, 2012.