person
Matthew Ellis, BA,LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1730813700

Matthew Ellis is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Matthew Ellis practices in Minneapolis, MN and has the professional credentials of BA,LADC. The NPI Number for Matthew Ellis is 1730813700 and holds a License No. 305037 (Minnesota).

The current practice location address for Matthew Ellis is 2217 Nicollet Ave, Minneapolis, MN and can be reached out via phone at 612-294-9263 and via fax at 612-870-3796.

Location: 2217 Nicollet Ave, Minneapolis, MN, 55404-3382
person
Provider Profile Details
NPI Number
1730813700
Provider Name
Matthew Ellis
Credential
BA,LADC
Provider Entity Type
Individual
Gender
Male
Address
2217 Nicollet Ave, Minneapolis, MN, 55404-3382
Phone Number
612-294-9263
Fax Number
612-870-3796
Provider Enumeration Date
07/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
305037 05 MN
institution
Provider Business Practice Location Address Details
Address
2217 Nicollet Ave
City
State
Zip
55404-3382
Phone Number
612-294-9263
Fax Number
612-870-3796
person
Provider Business Mailing Address Details
Address
2217 Nicollet Ave
City
State
Zip
55404-3382
Phone Number
612-294-9263
Fax Number
612-870-3796
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305037 (Minnesota)
Definition
Definition to come...
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