Jerry Lee Ellwanger is an addiction (substance use disorder) counselor in Newark, CA. Jerry Lee Ellwanger NPI is 1982845905. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6330 THORNTON AVE
NEWARK, CA
ZIP 94560-734
Phone: (510) 792-4357
The enumeration date for this NPI number is 3/20/2009 and was last updated on 3/20/2009.