person
Mariah Ashley Ellis, LADC,CADCII
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1700439403

Mariah Ashley Ellis is an Addiction (Substance Use Disorder) Counselor based in Springfield, OR and is specialized in Addiction (Substance Use Disorder). Mariah Ashley Ellis practices in Coburg, OR and has the professional credentials of LADC,CADCII. The NPI Number for Mariah Ashley Ellis is 1700439403 and holds a License No. 305466 (Oregon).

The current practice location address for Mariah Ashley Ellis is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-687-1110.

Location: 1 Serenity Ln, Coburg, OR, 97477-3493
person
Provider Profile Details
NPI Number
1700439403
Provider Name
Mariah Ashley Ellis
Credential
LADC,CADCII
Provider Entity Type
Individual
Gender
Female
Address
1 Serenity Ln, Coburg, OR, 97477-3493
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
State
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305466 (Minnesota)
Definition
Definition to come...
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