Fara S Ellis, RAS
Fara S Ellis, RAS is an Addiction (Substance Use Disorder) Counselor in Mojave, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
16940 Highway 14 Ste FMojave, CA 93501-1238
Phone: (661) 824-5020
Fax: (661) 824-5026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence E0703181755 (CA) |
|---|
Record details
| NPI number | 1053608091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RAS |
| Sole proprietor | No |
| NPI enumerated | June 28, 2011 |
| Last updated in NPPES | August 31, 2016 |
| Mailing address | 21521 Westwood Blvd, Tehachapi, CA 93561-9445 |
Other providers in Mojave
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Mr. Bryan K Johnson
16940 Highway 14 Ste F, Mojave, CA 93501-1238 · (661) 824-5020
-
Stephanie Malaine Masterson
16940 Highway 14 Ste F, Mojave, CA 93501-1238 · (661) 824-5020
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Rhema Rehabilitation Centers
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MS. Jennifer Anne Sunderland-Fitzsimmons, CADCI
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