Individual provider · Type 1 NPI

Jerry Lee Ellwanger

Addiction (Substance Use Disorder) Counselor · Newark, CA

NPI number 1982845905 Active

Practice location

6330 Thornton Ave
Newark, CA 94560-3734

Call (510) 792-4357 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

98 other providers at this address

Other addiction (substance use disorder) counselor providers in Newark

See all in Newark →

About NPI 1982845905

Jerry Lee Ellwanger's National Provider Identifier is 1982845905, issued on Mar 20, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, CA. The record was last updated on Mar 20, 2009.