DR. KATHLEEN ELLIS, PHD, LADC, LPC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1679902316
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 000903 (CT) |
| Counselor - Professional | 101YP2500X | No | 002541 (CT) |
Frequently Asked Questions
NPI 1679902316 is the National Provider Identifier for DR. KATHLEEN ELLIS, PHD, LADC, LPC, a Counselor - Addiction (Substance Use Disorder) provider located in New London, CT. This NPI was enumerated on November 4, 2013.
DR. KATHLEEN ELLIS, PHD, LADC, LPC practices at 365 MONTAUK AVE, New London, CT 06320.
Quick Facts
- NPI
- 1679902316
- Type
- Individual
- Enumerated
- Nov 4, 2013
- Last Updated
- Sep 10, 2025
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