Individual provider · Type 1 NPI

Mark David Elliott, LPCC

Professional Counselor · Eureka, CA

NPI number 1134634884 Active

Practice location

2440 6th St
Eureka, CA 95501-0788

Mailing address

PO Box 4198
Arcata, CA 95518-4198

Other practice locations

  • 1711 3rd St, Eureka, CA 95501-0714 · (707) 268-2800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X10276 (CA)
Mental Health Counselor 101YM0800XPCCI4283 (CA)
Professional Counselor Primary 101YP2500X10276 (CA)

Professional Counselor: Definition to come...

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About NPI 1134634884

Mark David Elliott, LPCC's National Provider Identifier is 1134634884, issued on Dec 4, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eureka, CA. The record was last updated on Oct 1, 2021.