Ellis, Legrante Vernon

Ellis, Legrante Vernon is an individual health care provider with primary practice located at 1152 Sonoma Ave , Seaside CA 93955-5218. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ellis, Legrante Vernon can be contacted via phone (831) 899-2436.

Contact Information

Primary practice address
1152 Sonoma Ave Seaside CA 93955-5218
Phone: (831) 899-2436
Fax: (831) 899-7405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C035750915 California

Profile Details

NPI number 1285121053
LBN Legal business name Ellis, Legrante Vernon
Credentials CADC-CAS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2018
Last updated Apr 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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