Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LEGRANTE VERNON ELLIS, CADC-CAS
ActiveMR. LEGRANTE VERNON ELLIS, CADC-CAS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SEASIDE, California. NPI 1285121053 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SEASIDE, CA
Registration Details
- NPI Number
- 1285121053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2018 (8.2965491996735 yrs)
- Last Updated
- Apr 17, 2018
- License
-
C035750915 (CA)
Practice Information
- Address
-
1152 SONOMA AVESEASIDE, CA, 939555218Browse CA providers · Browse ZIP 93955
- Phone
- 8318992436
- Fax
- 8318997405
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SEASIDE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM ANDREW HYMAN | CACDII | 1386748671 |
| MS. CATHERINE L WILSON | CAS | 1770766867 |
| JOHNNY FANENE | — | 1922333475 |
| JEM GOETHALS | — | 1023463775 |
| JAMES CLARK | — | 1336595412 |
| AMY MARIE BOZE | — | 1225506793 |
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.