Individual
MR. JOHN M. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW, LICDC
Contact information
Practice address
35888 CENTER RIDGE RD, SUITE 5, NORTH RIDGEVILLE, OH 44039-3086
(440) 327-1800
(440) 327-1533
Mailing address
35888 CENTER RIDGE RD, SUITE 5, NORTH RIDGEVILLE, OH 44039-3086
(440) 327-1800
(440) 327-1533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
923272
OH
1041C0700X
Clinical Social Worker
Primary
I-0009904
OH
Other
Enumeration date
07/12/2006
Last updated
09/11/2025
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