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Deontrae Marquise Ellis, LICDC
Addiction (Substance Use Disorder) Counselor in Springfield, Ohio
NPI 1548505860

Deontrae Marquise Ellis is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Deontrae Marquise Ellis practices in Springfield, OH and has the professional credentials of LICDC. The NPI Number for Deontrae Marquise Ellis is 1548505860 and holds a License No. (Ohio).

The current practice location address for Deontrae Marquise Ellis is 201 N Yellow Springs St, Springfield, OH and can be reached out via phone at 833-510-4357 and via fax at 513-881-7188.

Location: 201 N Yellow Springs St, Springfield, OH, 45212-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548505860
Provider Name
Deontrae Marquise Ellis
Credential
LICDC
Provider Entity Type
Individual
Gender
Male
Address
201 N Yellow Springs St, Springfield, OH, 45212-2600
Phone Number
833-510-4357
Fax Number
513-881-7188
Provider Enumeration Date
11/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 N Yellow Springs St
City
Springfield
State
Ohio
Zip
45504-2650
Phone Number
833-510-4357
Fax Number
513-881-7188
person
Provider Business Mailing Address Details
Address
201 N Yellow Springs St
City
Springfield
State
Ohio
Zip
45504-2650
Phone Number
833-510-4357
Fax Number
513-881-7188
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LICDC.151072 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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