LISA JOANNE ELLIS

SANTA ROSA, CA
NPI1194960864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-12-10
Last Update Date2024-10-31
Business Address
LISA JOANNE ELLIS
2245 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number: 707-565-6338
Mailing Address
LISA JOANNE ELLIS
1300 CODDINGTOWN CTR
SANTA ROSA, CA 95401-3537
Phone number: 707-565-7640