person
Autumn M Ellis, CDP
Addiction (Substance Use Disorder) Counselor in Vancouver, Washington
NPI 1356403901

Autumn M Ellis is an Addiction (Substance Use Disorder) Counselor based in Vancouver, WA and is specialized in Addiction (Substance Use Disorder). Autumn M Ellis practices in Vancouver, WA and has the professional credentials of CDP. The NPI Number for Autumn M Ellis is 1356403901 and holds a License No. CP00003931 (Washington).

The current practice location address for Autumn M Ellis is 6926 Ne Fourth Plain Blvd, Vancouver, WA and can be reached out via phone at 360-993-3000 and via fax at 360-993-3047. You can also correspond with Autumn M Ellis through the mailing address at PO BOX 1337, VANCOUVER, WA - 98666-1337 (mailing address contact number: 360-993-3000).

Location: 6926 Ne Fourth Plain Blvd, Vancouver, WA, 98666-1337
person
Provider Profile Details
NPI Number
1356403901
Provider Name
Autumn M Ellis
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
6926 Ne Fourth Plain Blvd, Vancouver, WA, 98666-1337
Phone Number
360-993-3000
Fax Number
360-993-3047
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6926 Ne Fourth Plain Blvd
City
State
Zip
98661
Phone Number
360-993-3000
Fax Number
360-993-3047
person
Provider Business Mailing Address Details
Address
6926 Ne Fourth Plain Blvd
City
State
Zip
98661
Phone Number
360-993-3000
Fax Number
360-993-3047
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00003931 (Washington)
Definition
Definition to come...
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