person
Jessica Marie Ellis, LCDCIII,CADC
Addiction (Substance Use Disorder) Counselor in Covington, Kentucky
NPI 1114487188

Jessica Marie Ellis is an Addiction (Substance Use Disorder) Counselor based in Crescent Park, KY and is specialized in Addiction (Substance Use Disorder). Jessica Marie Ellis practices in Covington, KY and has the professional credentials of LCDCIII,CADC. The NPI Number for Jessica Marie Ellis is 1114487188 and holds a License No. 164249 (Kentucky).

The current practice location address for Jessica Marie Ellis is 1450 Madison Ave, Covington, KY and can be reached out via phone at 859-444-4499 and via fax at 859-916-6713. You can also correspond with Jessica Marie Ellis through the mailing address at 419 AVON CT, CRESCENT PARK, KY - 41017-1616 (mailing address contact number: 859-250-8460).

Location: 1450 Madison Ave, Covington, KY, 41017-1616
person
Provider Profile Details
NPI Number
1114487188
Provider Name
Jessica Marie Ellis
Credential
LCDCIII,CADC
Provider Entity Type
Individual
Gender
Female
Address
1450 Madison Ave, Covington, KY, 41017-1616
Phone Number
859-444-4499
Fax Number
859-916-6713
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1450 Madison Ave
City
State
Zip
41011-3369
Phone Number
859-444-4499
Fax Number
859-916-6713
person
Provider Business Mailing Address Details
Address
1450 Madison Ave
City
State
Zip
41011-3369
Phone Number
859-444-4499
Fax Number
859-916-6713
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
164249 (Kentucky)
Definition
Definition to come...
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