Individual provider · Type 1 NPI

Job Elliott, L.P.C ;L.I.A.C

Addiction (Substance Use Disorder) Counselor · Mesa, AZ

NPI number 1932564697 Active

Practice location

2345 S Alma School Rd Ste 105
Mesa, AZ 85210-4013

Mailing address

PO Box 11533
Chandler, AZ 85248-0009

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-17557 (AZ)
Counselor 101Y00000XLAC-15368 (AZ)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-15039 (AZ)

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

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About NPI 1932564697

Job Elliott, L.P.C ;L.I.A.C's National Provider Identifier is 1932564697, issued on Dec 23, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Jul 24, 2026.