National Provider Identifier
Michelle M Ellis, MS, CASAC, ICADC, CADT
Michelle M Ellis, MS, CASAC, ICADC, CADT is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Ithaca, NY and a listed phone number of (607) 274-6288.
Profile Overview
- NPI
- 1760737266
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- July 20, 2012
- Last Updated
- July 20, 2012
Practice Location
- 201 E Green St
- Suite 500
- Ithaca, NY 14850-5635
Phone: (607) 274-6288
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1760737266
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Michelle
- Middle Name
- M
- Name Prefix
- MS.
- Credential
- MS, CASAC, ICADC, CADT
- Mailing Street Address
- 201 E Green St
- Mailing Address Line 2
- Suite 500
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5635
- Mailing Country
- US
- Mailing Phone
- (607) 274-6288
- Practice Street Address
- 201 E Green St
- Practice Address Line 2
- Suite 500
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (607) 274-6288
- Enumeration Date
- July 20, 2012
- Last Updated
- July 20, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)