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Charles Ellis
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1841064912

Charles Ellis is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Charles Ellis practices in San Diego, CA. The NPI Number for Charles Ellis is 1841064912 and holds a License No. R1527390923 (California).

The current practice location address for Charles Ellis is 835 25Th St, San Diego, CA and can be reached out via phone at 619-239-9691.

Location: 835 25Th St, San Diego, CA, 92102-2738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841064912
Provider Name
Charles Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
835 25Th St, San Diego, CA, 92102-2738
Phone Number
619-239-9691
Fax Number
Provider Enumeration Date
11/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
835 25Th St
City
San Diego
State
California
Zip
92102-2738
Phone Number
619-239-9691
Fax Number
person
Provider Business Mailing Address Details
Address
835 25Th St
City
San Diego
State
California
Zip
92102-2738
Phone Number
619-239-9691
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1527390923 (California)
Definition
Definition to come...
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