Ellington, Rita Marie

Ellington, Rita Marie is an sole proprietor health care provider with primary practice located at 3100 S Cushman St , Fairbanks AK 99701-7516. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ellington, Rita Marie can be contacted via phone (907) 452-6251.

Contact Information

Primary practice address
3100 S Cushman St Fairbanks AK 99701-7516
Phone: (907) 452-6251
Fax: (907) 456-4849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCS 2376 Alaska

Profile Details

NPI number 1952529679
LBN Legal business name Ellington, Rita Marie
Credentials PSY.D., CDCS, ADMN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952529679 NPPES
Alaska Other 2376 ALASKA CDCS CERTIFICATION
Alaska Other 1116 ALASKA CDCS CERTIFICATION

Popular Providers