Individual
ASHLEY N ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 GALLIA ST, NEW BOSTON, OH 45662
(740) 354-6550
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.168019
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
PRS.00641
OH
101YM0800X
Mental Health Counselor
QMHS
OH
171M00000X
Case Manager/Care Coordinator
CMS
OH
Other
Enumeration date
06/20/2018
Last updated
11/20/2018
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