Priscilla Ellis-White
Addiction Counselor (Substance Use Disorder)
8626 Lower Sacramento Rd Suite #41
Stockton
, California 95210-1835
Priscilla Ellis-White
Addiction Counselor (Substance Use Disorder)
8626 Lower Sacramento Rd Suite #41
Stockton
, California 95210-1835
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Priscilla Ellis-White
- 1779 Erickson Cir
- Stockton, CA
- Zip : 95206-6314
- Phone :
Second Address
- Priscilla Ellis-White
- 8626 Lower Sacramento Rd Suite #41
- Stockton, CA
- Zip : 95210-1835
- Fax : (209) 478-1476
- Phone : (209) 478-2487
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FAQs
Where did Priscilla Ellis-White attend graduate school?
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What type of doctor is Priscilla Ellis-White
In what state does Priscilla Ellis-White practice in?
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Is Priscilla Ellis-White a sole practitioner?
Is Priscilla Ellis-White accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003185273 |
|---|---|
| Provider Name | Priscilla Ellis-White |
| First Address | Stockton, CA 95206-6314 |
| Second Address | Stockton, CA 95210-1835 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2011 |
| Last Update Date | 18/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.