Individual
DANIEL J ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDC-A
Contact information
Practice address
651 S LIMESTONE ST, SPRINGFIELD, OH 45505-1965
(937) 324-1111
(937) 328-7257
Mailing address
651 S LIMESTONE ST, SPRINGFIELD, OH 45505-1965
(937) 324-1111
(937) 328-7257
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.181768
OH
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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