person
Fara S Ellis, RAS
Addiction (Substance Use Disorder) Counselor in Mojave, California
NPI 1053608091

Fara S Ellis is an Addiction (Substance Use Disorder) Counselor based in Tehachapi, CA and is specialized in Addiction (Substance Use Disorder). Fara S Ellis practices in Mojave, CA and has the professional credentials of RAS. The NPI Number for Fara S Ellis is 1053608091 and holds a License No. E0703181755 (California).

The current practice location address for Fara S Ellis is 16940 Highway 14 Ste F, Mojave, CA and can be reached out via phone at 661-824-5020 and via fax at 661-824-5026.

Location: 16940 Highway 14 Ste F, Mojave, CA, 93561-9445
person
Provider Profile Details
NPI Number
1053608091
Provider Name
Fara S Ellis
Credential
RAS
Provider Entity Type
Individual
Gender
Female
Address
16940 Highway 14 Ste F, Mojave, CA, 93561-9445
Phone Number
661-824-5020
Fax Number
661-824-5026
Provider Enumeration Date
06/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16940 Highway 14 Ste F
City
State
Zip
93501-1238
Phone Number
661-824-5020
Fax Number
661-824-5026
person
Provider Business Mailing Address Details
Address
16940 Highway 14 Ste F
City
State
Zip
93501-1238
Phone Number
661-824-5020
Fax Number
661-824-5026
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
E0703181755 (California)
Definition
Definition to come...
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