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Eric Alexander Ellis, CDCA,PRS
Addiction (Substance Use Disorder) Counselor in Ironton, Ohio
NPI 1225610470

Eric Alexander Ellis is an Addiction (Substance Use Disorder) Counselor based in Ironton, OH and is specialized in Addiction (Substance Use Disorder). Eric Alexander Ellis practices in Ironton, OH and has the professional credentials of CDCA,PRS. The NPI Number for Eric Alexander Ellis is 1225610470 and holds a License No. 0002782 (Ohio).

The current practice location address for Eric Alexander Ellis is 214 S 4Th St, Ironton, OH and can be reached out via phone at 740-532-3767 and via fax at 740-532-3385.

Location: 214 S 4Th St, Ironton, OH, 45638-1610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225610470
Provider Name
Eric Alexander Ellis
Credential
CDCA,PRS
Provider Entity Type
Individual
Gender
Male
Address
214 S 4Th St, Ironton, OH, 45638-1610
Phone Number
740-532-3767
Fax Number
740-532-3385
Provider Enumeration Date
04/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
214 S 4Th St
City
Ironton
State
Ohio
Zip
45638-1610
Phone Number
740-532-3767
Fax Number
740-532-3385
person
Provider Business Mailing Address Details
Address
214 S 4Th St
City
Ironton
State
Ohio
Zip
45638-1610
Phone Number
740-532-3767
Fax Number
740-532-3385
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.178795 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0002782 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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