Individual provider · Type 1 NPI

Jackelin Elliott

School Counselor · San Jose, CA

NPI number 1104299544 Active

Practice location

1401 Parkmoor Ave Ste 230
San Jose, CA 95126-3407

Mailing address

4632 Alhambra Dr
Fremont, CA 94536-5427

Specialties and licenses

TaxonomyCodeLicense
School Counselor Primary 101YS0200XNone listed

School Counselor: Definition to come...

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About NPI 1104299544

Jackelin Elliott's National Provider Identifier is 1104299544, issued on Nov 6, 2015. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in San Jose, CA. The record was last updated on Nov 6, 2015.