WILLIAM BRADFORD ELLIS

TROY, NY
NPI1619601101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  35967)
Enumeration Date2022-07-12
Last Update Date2022-11-28
Business Address
WILLIAM BRADFORD ELLIS CASAC
2435 6TH AVE
TROY, NY 12180-2227
Phone number: 518-274-5143
Mailing Address
WILLIAM BRADFORD ELLIS CASAC
12 THE MALL ST
AMSTERDAM, NY 12010-1224
Phone number:
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