Individual provider · Type 1 NPI

Canarissa Elliott

Mental Health Counselor · Gainesville, FL

NPI number 1124433842 Active

Practice location

711 NW 1st St
Gainesville, FL 32601-5343

Call (352) 732-1412 Map

Fax (352) 840-5779

Mailing address

1485 S Semoran Blvd
Winter Park, FL 32792-5533

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124433842

Canarissa Elliott's National Provider Identifier is 1124433842, issued on Jun 23, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gainesville, FL. The record was last updated on Sep 13, 2016.