Individual
CANARISSA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 NW 1ST ST, GAINESVILLE, FL 32601-5343
(352) 732-1412
(352) 840-5779
Mailing address
1485 S SEMORAN BLVD, WINTER PARK, FL 32792-5533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
09/13/2016
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