JEFFERY ELLIS

LOUISVILLE, KY
NPI1194139014
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-06-18
Last Update Date2014-06-18
Business Address
Mr. JEFFERY ELLIS
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-583-3951
Mailing Address
Mr. JEFFERY ELLIS
211 WHIPPOORWILL DR
LOUISVILLE, KY 40222-4837
Phone number: 502-403-5933
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