person
Mr. Legrante Vernon Ellis, CADC-CAS
Addiction (Substance Use Disorder) Counselor in Seaside, California
NPI 1285121053

Legrante Vernon Ellis is an Addiction (Substance Use Disorder) Counselor based in Seaside, CA and is specialized in Addiction (Substance Use Disorder). Legrante Vernon Ellis practices in Seaside, CA and has the professional credentials of CADC-CAS. The NPI Number for Legrante Vernon Ellis is 1285121053 and holds a License No. C035750915 (California).

The current practice location address for Legrante Vernon Ellis is 1152 Sonoma Ave, Seaside, CA and can be reached out via phone at 831-899-2436 and via fax at 831-899-7405.

Location: 1152 Sonoma Ave, Seaside, CA, 93955-5218
person
Provider Profile Details
NPI Number
1285121053
Provider Name
Legrante Vernon Ellis
Credential
CADC-CAS
Provider Entity Type
Individual
Gender
Male
Address
1152 Sonoma Ave, Seaside, CA, 93955-5218
Phone Number
831-899-2436
Fax Number
831-899-7405
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1152 Sonoma Ave
City
State
Zip
93955-5218
Phone Number
831-899-2436
Fax Number
831-899-7405
person
Provider Business Mailing Address Details
Address
1152 Sonoma Ave
City
State
Zip
93955-5218
Phone Number
831-899-2436
Fax Number
831-899-7405
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C035750915 (California)
Definition
Definition to come...
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