Individual provider · Type 1 NPI

Shaundriques Vontae Elston, MHA

Mental Health Counselor · Ventura, CA

NPI number 1396006169 Active

Practice location

5740 Ralston St, Suite 200
Ventura, CA 93003-6051

Fax (805) 289-3202

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396006169

Shaundriques Vontae Elston, MHA's National Provider Identifier is 1396006169, issued on Jun 7, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ventura, CA. The record was last updated on Jun 7, 2012.