Ellis, Jessica Marie

Ellis, Jessica Marie is an individual health care provider with primary practice located at 1450 Madison Ave , Covington KY 41011-3369. 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. Ellis, Jessica Marie can be contacted via phone (859) 444-4499.

Contact Information

Primary practice address
1450 Madison Ave Covington KY 41011-3369
Phone: (859) 444-4499
Fax: (859) 916-6713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 164249 Kentucky

Profile Details

NPI number 1114487188
LBN Legal business name Ellis, Jessica Marie
Credentials LCDCIII, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Mar 25th, 2019 - about 7 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

Popular Providers