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Individual

ALEISHA MARTINE ELLIOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC, RRT, EMDR

Contact information

Practice address
908 2ND AVE, COLUMBUS, GA 31901-2716
(706) 341-4349
(877) 876-6954
Mailing address
908 2ND AVE, COLUMBUS, GA 31901-2716
(706) 341-4349
(877) 876-6954

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006632
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003140958A
GA
Enumeration date
04/13/2012
Last updated
01/16/2024
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