KEVIN DAYTON ELLIS

ASHTABULA, OH
NPI1598272437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  161600)
Enumeration Date2017-12-31
Last Update Date2017-12-31
Business Address
KEVIN DAYTON ELLIS LICDC
2801 C CT
ASHTABULA, OH 44004-4577
Phone number: 440-998-0722
Mailing Address
KEVIN DAYTON ELLIS LICDC
2009 E PROSPECT RD
ASHTABULA, OH 44004-5337
Phone number: 440-812-2552
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