Matt Ellenwood
Matt Ellenwood is an Addiction (Substance Use Disorder) Counselor in Wheat Ridge, Colorado. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4851 Independence St Ste 200Wheat Ridge, CO 80033-6712
Phone: (303) 425-0300
Fax: (303) 432-5071
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1548799760 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 4851 Independence St Ste 200, Wheat Ridge, CO 80033-6712 |
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Preston Defosses
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Jeremy Michael Edgett
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Yenni C Fuenmayor, LCSW
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