person
Mr. Larry Edward Ellis, RADT
Addiction (Substance Use Disorder) Counselor in Ventura, California
NPI 1205311339

Larry Edward Ellis is an Addiction (Substance Use Disorder) Counselor based in Ventura, CA and is specialized in Addiction (Substance Use Disorder). Larry Edward Ellis practices in Ventura, CA and has the professional credentials of RADT. The NPI Number for Larry Edward Ellis is 1205311339 and holds a License No. R1290810218 (California).

The current practice location address for Larry Edward Ellis is 800 S Victoria Ave, Ventura, CA and can be reached out via phone at 805-766-5620.

Location: 800 S Victoria Ave, Ventura, CA, 93009-0001
person
Provider Profile Details
NPI Number
1205311339
Provider Name
Larry Edward Ellis
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
800 S Victoria Ave, Ventura, CA, 93009-0001
Phone Number
805-766-5620
Fax Number
Provider Enumeration Date
09/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 S Victoria Ave
City
State
Zip
93009-0001
Phone Number
805-766-5620
Fax Number
person
Provider Business Mailing Address Details
Address
800 S Victoria Ave
City
State
Zip
93009-0001
Phone Number
805-766-5620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1290810218 (California)
Definition
Definition to come...
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