Individual
DR. ELLIOT ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1301 OAK ST, HAYS, KS 67601-3659
(785) 628-3575
Mailing address
2013 E 21ST ST UNIT B, HAYS, KS 67601-2738
(785) 639-5135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3576
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174662526
—
AR
Enumeration date
11/29/2011
Last updated
03/23/2020
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