person
Michael Mario Ellis
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1609311315

Michael Mario Ellis is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Michael Mario Ellis practices in Stockton, CA. The NPI Number for Michael Mario Ellis is 1609311315 and holds a License No. (California).

The current practice location address for Michael Mario Ellis is 1222 Monaco Ct, Stockton, CA and can be reached out via phone at 209-644-6328 and via fax at 209-644-6308.

Location: 1222 Monaco Ct, Stockton, CA, 95207-6742
person
Provider Profile Details
NPI Number
1609311315
Provider Name
Michael Mario Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1222 Monaco Ct, Stockton, CA, 95207-6742
Phone Number
209-644-6328
Fax Number
209-644-6308
Provider Enumeration Date
01/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1222 Monaco Ct
City
State
Zip
95207-6742
Phone Number
209-644-6328
Fax Number
209-644-6308
person
Provider Business Mailing Address Details
Address
1222 Monaco Ct
City
State
Zip
95207-6742
Phone Number
209-644-6328
Fax Number
209-644-6308
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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