Individual
MR. DONALD C ELLERBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1825 FORTVIEW RD STE 106, AUSTIN, TX 78704-7600
(831) 512-0355
Mailing address
PO BOX 152292, AUSTIN, TX 78715-2292
(832) 512-0035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9572
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/03/2012
Last updated
04/19/2019
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