AUTUMN M ELLIS

VANCOUVER, WA
NPI1356403901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00003931)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- AUTUMN M ELLIS CDP
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Phone number: 360-993-3000
Mailing Address
-- AUTUMN M ELLIS CDP
PO BOX 1337
VANCOUVER, WA 98666-1337
Phone number: 360-993-3000
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