Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FARA S ELLIS, RAS
ActiveFARA S ELLIS, RAS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MOJAVE, California. NPI 1053608091 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MOJAVE, CA
Registration Details
- NPI Number
- 1053608091
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2011 (15.110707600508 yrs)
- Last Updated
- Aug 31, 2016
- License
-
E0703181755 (CA)
Practice Information
- Address
-
16940 HIGHWAY 14 STE FMOJAVE, CA, 935011238Browse CA providers · Browse ZIP 93501
- Phone
- 6618245020
- Fax
- 6618245026
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MOJAVE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JENNIFER ANNE SUNDERLAND-FITZSIMMONS | CADC I | 1861951139 |
| MR. BRYAN K JOHNSON | — | 1487219150 |
| STEPHANIE MALAINE MASTERSON | — | 1740941160 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.