Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Ellis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841064912

Charles Ellis is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

835 25th St
San Diego, CA 92102-2738
Phone: (619) 239-9691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1527390923 (CA)

Record details

NPI number1841064912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 9, 2023
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

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