| Fara S Ellis, RAS | |
|
16940 Highway 14 Ste F, Mojave, CA 93501-1238 | |
| (661) 824-5020 | |
| (661) 824-5026 |
| Full Name | Fara S Ellis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 16940 Highway 14 Ste F, Mojave, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053608091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | E0703181755 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fara S Ellis, RAS 21521 Westwood Blvd, Tehachapi, CA 93561-9445 Ph: (661) 822-5171 | Fara S Ellis, RAS 16940 Highway 14 Ste F, Mojave, CA 93501-1238 Ph: (661) 824-5020 |
Deborah Lynn Vaughn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16940 Highway 14, Suite C-h, Mojave, CA 93501 Phone: 661-824-5020 | |
Ms. Dulany Ross Clements, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 16940 State Highway 14, Mojave, CA 93501 Phone: 661-824-5020 Fax: 661-824-5026 | |
Cheyenne Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16940 Highway 14, Mojave, CA 93501 Phone: 661-824-5020 | |
Nicole Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16940 Highway 14 Ste C, Mojave, CA 93501 Phone: 661-824-5020 | |
Mr. Daniel Erik Grass, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16940 State Highway 14 Ste H, Mojave, CA 93501 Phone: 661-824-4938 Fax: 661-824-4945 | |
Mr. Bryan K Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16940 Highway 14 Ste F, Mojave, CA 93501 Phone: 661-824-5020 |