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

Ronell Ellis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1467820860

Ronell Ellis is an Addiction (Substance Use Disorder) Counselor in San Bruno, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1 Moreland Dr
San Bruno, CA 94066-1670
Phone: (650) 266-9355
Fax: (650) 266-9343
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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 number1467820860
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 2, 2015
Last updated in NPPESSeptember 2, 2015
Mailing address1 Moreland Dr, San Bruno, CA 94066-1670

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