person
Ms. Tiffany Renee' Ellis
Addiction (Substance Use Disorder) Counselor in South Lake Tahoe, California
NPI 1699964585

Tiffany Renee' Ellis is an Addiction (Substance Use Disorder) Counselor based in South Lake Tahoe, CA and is specialized in Addiction (Substance Use Disorder). Tiffany Renee' Ellis practices in South Lake Tahoe, CA. The NPI Number for Tiffany Renee' Ellis is 1699964585 and holds a License No. (California).

The current practice location address for Tiffany Renee' Ellis is 1120 3Rd St, South Lake Tahoe, CA and can be reached out via phone at 530-573-3386 and via fax at 530-543-6697.

Location: 1120 3Rd St, South Lake Tahoe, CA, 96150-3451
person
Provider Profile Details
NPI Number
1699964585
Provider Name
Tiffany Renee' Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1120 3Rd St, South Lake Tahoe, CA, 96150-3451
Phone Number
530-573-3386
Fax Number
530-543-6697
Provider Enumeration Date
10/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1120 3Rd St
City
State
Zip
96150-3451
Phone Number
530-573-3386
Fax Number
530-543-6697
person
Provider Business Mailing Address Details
Address
1120 3Rd St
City
State
Zip
96150-3451
Phone Number
530-573-3386
Fax Number
530-543-6697
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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