Individual
JORDAN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-5661
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-5661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25-909SUD
WV
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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