MIKE H ELLIS

UNION, NJ
NPI1629691217
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00225500)
Enumeration Date2020-05-18
Last Update Date2020-05-18
Business Address
MIKE H ELLIS
1950 WILLIAM ST
UNION, NJ 07083-4504
Phone number: 908-546-8947
Mailing Address
MIKE H ELLIS
1950 WILLIAM ST
UNION, NJ 07083-4504
Phone number: 908-546-8947