CHRYSTAL JEAN ELLIS

SALEM, OR
NPI1427528751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2018-11-29
Last Update Date2023-10-05
Business Address
CHRYSTAL JEAN ELLIS
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301-1036
Phone number: 503-983-9900
Mailing Address
CHRYSTAL JEAN ELLIS
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301-1036
Phone number: 503-983-9900