Individual
JACKELIN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PARKMOOR AVE STE 230, SAN JOSE, CA 95126-3407
(408) 508-7700
Mailing address
4632 ALHAMBRA DR, FREMONT, CA 94536-5427
(831) 821-9834
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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