person
Kevin Dayton Ellis, LICDC
Addiction (Substance Use Disorder) Counselor in Ashtabula, Ohio
NPI 1598272437

Kevin Dayton Ellis is an Addiction (Substance Use Disorder) Counselor based in Ashtabula, OH and is specialized in Addiction (Substance Use Disorder). Kevin Dayton Ellis practices in Ashtabula, OH and has the professional credentials of LICDC. The NPI Number for Kevin Dayton Ellis is 1598272437 and holds a License No. 161600 (Ohio).

The current practice location address for Kevin Dayton Ellis is 2801 C Ct, Ashtabula, OH and can be reached out via phone at 440-998-0722 and via fax at 440-992-1699.

Location: 2801 C Ct, Ashtabula, OH, 44004-5337
person
Provider Profile Details
NPI Number
1598272437
Provider Name
Kevin Dayton Ellis
Credential
LICDC
Provider Entity Type
Individual
Gender
Male
Address
2801 C Ct, Ashtabula, OH, 44004-5337
Phone Number
440-998-0722
Fax Number
440-992-1699
Provider Enumeration Date
12/31/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161600 01 OH OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
institution
Provider Business Practice Location Address Details
Address
2801 C Ct
City
State
Zip
44004-4577
Phone Number
440-998-0722
Fax Number
440-992-1699
person
Provider Business Mailing Address Details
Address
2801 C Ct
City
State
Zip
44004-4577
Phone Number
440-998-0722
Fax Number
440-992-1699
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
161600 (Ohio)
Definition
Definition to come...
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