SHANNON ELLIS, LICDC.162092
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1487165858
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 162092 (OH) |
Frequently Asked Questions
NPI 1487165858 is the National Provider Identifier for SHANNON ELLIS, LICDC.162092, a Counselor - Addiction (Substance Use Disorder) provider located in Coal Grove, OH. This NPI was enumerated on October 12, 2017.
SHANNON ELLIS, LICDC.162092 practices at 323 MARION PIKE STE 1, Coal Grove, OH 45638.
Quick Facts
- NPI
- 1487165858
- Type
- Individual
- Enumerated
- Oct 12, 2017
- Last Updated
- Jun 15, 2025
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