TYAN ELLSWORTH, CADC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1366684722
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 95005 (IA) |
Frequently Asked Questions
NPI 1366684722 is the National Provider Identifier for TYAN ELLSWORTH, CADC, a Counselor - Addiction (Substance Use Disorder) provider located in Atlantic, IA. This NPI was enumerated on April 1, 2009.
TYAN ELLSWORTH, CADC practices at 1500 E 10TH ST, Atlantic, IA 50022.
Quick Facts
- NPI
- 1366684722
- Type
- Individual
- Enumerated
- Apr 1, 2009
- Last Updated
- Nov 16, 2015
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