Kevin Dayton Ellis, LICDC

NPI #1598272437 in Ashtabula, Ohio

Provider Information

NPI Number
1598272437
Entity Type
Individual
Name
Kevin Dayton Ellis, LICDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LICDC
Enumeration Date
Dec 31, 2017
Last Updated
Dec 31, 2017

Practice Location

Address
2801 C CT
State
Ohio
ZIP Code
44004-4577
Phone
(440) 998-0722

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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