Fara S Ellis, RAS

NPI #1053608091 in Mojave, California

Provider Information

NPI Number: 1053608091
Entity Type: Individual
Name: Fara S Ellis, RAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: RAS
Enumeration Date: Jun 28, 2011
Last Updated: Aug 31, 2016

Practice Location

Address: 16940 HIGHWAY 14 STE F
City: Mojave
State: California
ZIP Code: 93501-1238
Phone: (661) 824-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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