Shannon Noel Ellis LICDC.162092

NPI # 

Practice Address:

323 Marion Pike Ste 1

Coal Grove, OH, 45638-2958

Practice Phone:

740-237-4981

Practice Fax:

877-325-2816

License Number:

162092

License State:

OH

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Addiction (Substance Use Disorder)

Taxonomy Code:

101YA0400X

Updated by NPPES on 6/15/2025. You can view the original data set for NPI # 1487165858 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Shannon Noel Ellis , LICDC.162092 's

CMS CPT® coding data

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Shannon Noel Ellis , LICDC.162092 's

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