Individual provider · Type 1 NPI

Mandy Elliott

Addiction (Substance Use Disorder) Counselor · Jackson, OH

NPI number 1710694096 Active

Practice location

502 Mccarty Ln
Jackson, OH 45640-7020

Call (740) 577-9003 Map

Mailing address

219 Columbia St
Jackson, OH 45640-1771

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1710694096

Mandy Elliott's National Provider Identifier is 1710694096, issued on Nov 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, OH. The record was last updated on Nov 14, 2025.