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Individual

JEREMY ELKON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.70058790
WA
175T00000X
Peer Specialist
Primary
CG61133510
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2195440
WA
Enumeration date
12/24/2020
Last updated
08/05/2026
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