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Mr. Jeffrey Bryan Elliott, MC
Addiction (Substance Use Disorder) Counselor in Mesa, Arizona
NPI 1649460312

Jeffrey Bryan Elliott is an Addiction (Substance Use Disorder) Counselor based in Mesa, AZ and is specialized in Addiction (Substance Use Disorder). Jeffrey Bryan Elliott practices in Mesa, AZ and has the professional credentials of MC. The NPI Number for Jeffrey Bryan Elliott is 1649460312 and holds a License No. LPC-10063 (Arizona).

The current practice location address for Jeffrey Bryan Elliott is 4824 E Baseline Rd, Mesa, AZ and can be reached out via phone at 602-550-2073.

Location: 4824 E Baseline Rd, Mesa, AZ, 85206-4676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649460312
Provider Name
Jeffrey Bryan Elliott
Credential
MC
Provider Entity Type
Individual
Gender
Male
Address
4824 E Baseline Rd, Mesa, AZ, 85206-4676
Phone Number
602-550-2073
Fax Number
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4824 E Baseline Rd
City
Mesa
State
Arizona
Zip
85206-4676
Phone Number
602-550-2073
Fax Number
person
Provider Business Mailing Address Details
Address
4824 E Baseline Rd
City
Mesa
State
Arizona
Zip
85206-4676
Phone Number
602-550-2073
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LISAC-10173 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC-10063 (Arizona)
Definition
Definition to come...
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