Individual provider · Type 1 NPI

Avedon Elliott, LPC80053

Mental Health Counselor · Fort Myers, FL

NPI number 1902228653 Active

Practice location

3830 Evans Ave
Fort Myers, FL 33901-9305

Mailing address

5659 Cecina Dr
Frisco, TX 75034-2392

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X80053 (TX)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902228653

Avedon Elliott, LPC80053's National Provider Identifier is 1902228653, issued on Jan 15, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Myers, FL. The record was last updated on May 12, 2023.