person
Kera Marie Ellison, MEDPPS
Addiction (Substance Use Disorder) Counselor in Torrance, California
NPI 1306502463

Kera Marie Ellison is an Addiction (Substance Use Disorder) Counselor based in Torrance, CA and is specialized in Addiction (Substance Use Disorder). Kera Marie Ellison practices in Torrance, CA and has the professional credentials of MEDPPS. The NPI Number for Kera Marie Ellison is 1306502463 and holds a License No. R1449521121 (California).

The current practice location address for Kera Marie Ellison is 1124 W Carson St, Torrance, CA and can be reached out via phone at 310-222-5410 and via fax at 310-787-7742.

Location: 1124 W Carson St, Torrance, CA, 90502-2006
person
Provider Profile Details
NPI Number
1306502463
Provider Name
Kera Marie Ellison
Credential
MEDPPS
Provider Entity Type
Individual
Gender
Female
Address
1124 W Carson St, Torrance, CA, 90502-2006
Phone Number
310-222-5410
Fax Number
310-787-7742
Provider Enumeration Date
11/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1124 W Carson St
City
State
Zip
90502-2006
Phone Number
310-222-5410
Fax Number
310-787-7742
person
Provider Business Mailing Address Details
Address
1124 W Carson St
City
State
Zip
90502-2006
Phone Number
310-222-5410
Fax Number
310-787-7742
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1449521121 (California)
Definition
Definition to come...
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