MR. Legrante Vernon Ellis, CADC-CAS
NPI #1285121053 in Seaside, California
Provider Information
- NPI Number
- 1285121053
- Entity Type
- Individual
- Name
- MR. Legrante Vernon Ellis, CADC-CAS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CADC-CAS
- Enumeration Date
- Apr 17, 2018
- Last Updated
- Apr 17, 2018
Practice Location
- Address
- 1152 SONOMA AVE
- City
- Seaside
- State
- California
- ZIP Code
- 93955-5218
- Phone
- (831) 899-2436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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