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Shannon Noel Ellis
Addiction (Substance Use Disorder) Counselor in South Point, Ohio
NPI 1487165858

Shannon Noel Ellis is an Addiction (Substance Use Disorder) Counselor based in South Point, OH and is specialized in Addiction (Substance Use Disorder). Shannon Noel Ellis practices in South Point, OH. The NPI Number for Shannon Noel Ellis is 1487165858 and holds a License No. 131085 (Ohio).

The current practice location address for Shannon Noel Ellis is 48 Private Drive 339, South Point, OH and can be reached out via phone at 740-451-1455.

Location: 48 Private Drive 339, South Point, OH, 45680-8919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487165858
Provider Name
Shannon Noel Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
48 Private Drive 339, South Point, OH, 45680-8919
Phone Number
740-451-1455
Fax Number
Provider Enumeration Date
10/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
48 Private Drive 339
City
South Point
State
Ohio
Zip
45680-8919
Phone Number
740-451-1455
Fax Number
person
Provider Business Mailing Address Details
Address
48 Private Drive 339
City
South Point
State
Ohio
Zip
45680-8919
Phone Number
740-451-1455
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
131085 (Ohio)
Definition
Definition to come...
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