Individual
JENNIE ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
211 E SIX FORKS RD STE 117, RALEIGH, NC 27609-7753
(919) 833-8899
Mailing address
211 E SIX FORKS RD, RALEIGH, NC 27609-7745
(919) 833-8899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21649
NC
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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