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

Jeremy Ellison

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1578130654

Jeremy Ellison is an Addiction (Substance Use Disorder) Counselor in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

115 S Reynolds Rd
Toledo, OH 43615-6958
Phone: (419) 725-6631
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 CDCA.176721 (OH)

Record details

NPI number1578130654
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 8, 2021
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021

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