Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON NOEL ELLIS, LICDC.162092
ActiveSHANNON NOEL ELLIS, LICDC.162092 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in COAL GROVE, Ohio. NPI 1487165858 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · COAL GROVE, OH
Registration Details
- NPI Number
- 1487165858
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2017 (8.6921144079855 yrs)
- Last Updated
- Jun 15, 2025
- License
-
162092 (OH)
Practice Information
- Address
-
323 MARION PIKE STE 1COAL GROVE, OH, 456382958Browse OH providers · Browse ZIP 45638
- Phone
- 7402374981
- Fax
- 8773252816
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in COAL GROVE, OH
| Name | Credential | NPI |
|---|---|---|
| ROGER ASHCRAFT | CDCA | 1427561661 |
| SARA LYNN BEATSON | CDCA | 1326551565 |
| JESSICA BOWDEN | CDCA.167835 | 1972016970 |
| MARY BRUCE | LCDCIII | 1104339134 |
| MICHELLE MASSIE | — | 1285147066 |
| KATHY ROSS | CDCA | 1457864258 |
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.