Individual provider · Type 1 NPI

Jeffrey Bryan Elliott, M.C.

Counselor · Mesa, AZ

NPI number 1649460312 Active

Practice location

4824 E Baseline Rd, Suite 124
Mesa, AZ 85206-4676

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC-10063 (AZ)
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC-10173 (AZ)

Counselor: 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.

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About NPI 1649460312

Jeffrey Bryan Elliott, M.C.'s National Provider Identifier is 1649460312, issued on Jul 30, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 30, 2007.