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Individual
CHALLIS DEAN ELLIOTT
Active
Individual
CHALLIS DEAN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
QMHS
OH
171M00000X
Case Manager/Care Coordinator
Primary
CMS
OH
Other
Enumeration date
12/14/2017
Last updated
11/20/2018
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