SearchMichigan101YA0400X

Charmine Ellis, B.S. CACM

NPI 1558698654 · on the registry since 2009

Practice

Address
16647 Wyoming
Detroit, MI 48221
Phone
(313) 342-3606
Fax
(313) 861-0413
Organisation at this address
National Council On Alcoholism & Drug Dependence Greater Detroit
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan