| Ronell Ellis, | |
|
1 Moreland Dr, San Bruno, CA 94066-1670 | |
| (650) 266-9355 | |
| (650) 266-9343 |
| Full Name | Ronell Ellis |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1 Moreland Dr, San Bruno, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467820860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ronell Ellis, 1 Moreland Dr, San Bruno, CA 94066-1670 Ph: (650) 266-9355 | Ronell Ellis, 1 Moreland Dr, San Bruno, CA 94066-1670 Ph: (650) 266-9355 |
Luis Raul Iglesias Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln Ste 210, San Bruno, CA 94066 Phone: 650-244-1445 Fax: 650-763-2366 | |
Ashley Inez Guerin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln Ste 201, San Bruno, CA 94066 Phone: 650-214-1444 Fax: 650-244-1447 | |
Evedarda Melissa Vizcarra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 841 San Bruno Ave W Rm 1, San Bruno, CA 94066 Phone: 415-375-7629 | |
Mrs. Dina R Jenkins, RDA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln, San Bruno, CA 94066 Phone: 650-244-1444 Fax: 650-244-1447 | |
Ashley Lynn Theisen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 San Bruno Ave W, San Bruno, CA 94066 Phone: 415-681-3205 | |
Raymond J Taboada Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Sneath Ln, San Bruno, CA 94066 Phone: 650-244-1444 | |
Stephanie Alece Padrez, Counselor Medicare: Medicare Enrolled Practice Location: 1290 Commodore Dr, San Bruno, CA 94066 Phone: 650-550-7410 |