Michael Mario Ellis
Michael Mario Ellis is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1222 Monaco Ct #28Stockton, CA 95207-6742
Phone: (209) 644-6328
Fax: (209) 644-6308
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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 |
|---|
Record details
| NPI number | 1609311315 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 4, 2017 |
| Last updated in NPPES | January 4, 2017 |
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