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Mrs. Crystal L Ellsworth, SUDP-T
Addiction (Substance Use Disorder) Counselor in Colville, Washington
NPI 1588267157

Crystal L Ellsworth is an Addiction (Substance Use Disorder) Counselor based in Colville, WA and is specialized in Addiction (Substance Use Disorder). Crystal L Ellsworth practices in Colville, WA and has the professional credentials of SUDP-T. The NPI Number for Crystal L Ellsworth is 1588267157 and holds a License No. CM60865562 (Washington).

The current practice location address for Crystal L Ellsworth is 218 N Oak St Ste B, Colville, WA and can be reached out via phone at 509-684-5867 and via fax at 509-684-1925.

Location: 218 N Oak St Ste B, Colville, WA, 99114-2968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588267157
Provider Name
Crystal L Ellsworth
Credential
SUDP-T
Provider Entity Type
Individual
Gender
Female
Address
218 N Oak St Ste B, Colville, WA, 99114-2968
Phone Number
509-684-5867
Fax Number
509-684-1925
Provider Enumeration Date
11/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
218 N Oak St Ste B
City
Colville
State
Washington
Zip
99114-2968
Phone Number
509-684-5867
Fax Number
509-684-1925
person
Provider Business Mailing Address Details
Address
218 N Oak St Ste B
City
Colville
State
Washington
Zip
99114-2968
Phone Number
509-684-5867
Fax Number
509-684-1925
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CO61154536 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Nurse's Aide
Speciality
-
Taxonomy
376K00000X
License No.
()
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CM60865562 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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