Individual provider · Type 1 NPI
Spencer L. Ellis, CASAC
Addiction (Substance Use Disorder) Counselor · Joplin, MO
NPI number
1851429294
Active
Practice location
2808 S. Picher St.
Joplin, MO 64803
Mailing address
105 W Crestwood Dr
Monett, MO 65708-9577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1342 (MO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1851429294
Spencer L. Ellis, CASAC's National Provider Identifier is 1851429294, issued on Feb 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Joplin, MO. The record was last updated on Jul 8, 2007.