LISA JOANNE ELLIS

SANTA ROSA, CA
NPI1194960864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2008-12-10
Last Update Date2014-07-01
Business Address
LISA JOANNE ELLIS
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7640
Mailing Address
LISA JOANNE ELLIS
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7640
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