JESSICA MARIE ELLIS

COVINGTON, KY
NPI1114487188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  164249)
Enumeration Date2019-03-25
Last Update Date2019-03-25
Business Address
JESSICA MARIE ELLIS LCDCIII, CADC
1450 MADISON AVE
COVINGTON, KY 41011-3369
Phone number: 859-444-4499
Mailing Address
JESSICA MARIE ELLIS LCDCIII, CADC
419 AVON CT
CRESCENT PARK, KY 41017-1616
Phone number: 859-250-8460
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