DEONTRAE ELLIS, LICDC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1548505860
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | LICDC.151072 (OH) |
Frequently Asked Questions
NPI 1548505860 is the National Provider Identifier for DEONTRAE ELLIS, LICDC, a Counselor - Addiction (Substance Use Disorder) provider located in Springfield, OH. This NPI was enumerated on November 28, 2012.
DEONTRAE ELLIS, LICDC practices at 201 N YELLOW SPRINGS ST, Springfield, OH 45504.
Quick Facts
- NPI
- 1548505860
- Type
- Individual
- Enumerated
- Nov 28, 2012
- Last Updated
- Oct 24, 2023
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