Priscilla Ellis-White
NPI #1003185273 in Stockton, California
Provider Information
- NPI Number
- 1003185273
- Entity Type
- Individual
- Name
- Priscilla Ellis-White
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 18, 2011
- Last Updated
- Dec 18, 2011
Practice Location
- Address
- 8626 LOWER SACRAMENTO RD
- Address 2
- SUITE #41
- City
- Stockton
- State
- California
- ZIP Code
- 95210-1835
- Phone
- (209) 478-2487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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