| Kevin Dayton Ellis, LICDC | |
|
2801 C Ct, Ashtabula, OH 44004-4577 | |
| (440) 998-0722 | |
| (440) 992-1699 |
| Full Name | Kevin Dayton Ellis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2801 C Ct, Ashtabula, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598272437 | NPI | - | NPPES |
| 161600 | Other | OH | OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161600 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Dayton Ellis, LICDC 2009 E Prospect Rd, Ashtabula, OH 44004-5337 Ph: (440) 812-2552 | Kevin Dayton Ellis, LICDC 2801 C Ct, Ashtabula, OH 44004-4577 Ph: (440) 998-0722 |
Karen Fronczak, Counselor Medicare: Medicare Enrolled Practice Location: 2801 C Ct, Ashtabula, OH 44004 Phone: 440-998-4210 Fax: 440-998-2247 | |
Jason Robert Carmody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 S Ridge Rd E, Ashtabula, OH 44004 Phone: 513-834-7063 | |
Haylee Mcmahon, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W 44th St, Ashtabula, OH 44004 Phone: 440-650-5030 | |
Christopher Cope, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3418 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030 | |
Carlen Pittman, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3418 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030 | |
Adrianna Volpi, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3225 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030 | |
Amanda Kathleen Brace, LPCC-S, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2334 Lake Ave, Ashtabula, OH 44004 Phone: 440-361-0127 |