Individual
MR. JACOB MICHAEL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., NCC
Contact information
Practice address
235 DUNBAR CAVE RD, CLARKSVILLE, TN 37043-8828
(931) 249-2143
Mailing address
235 DUNBAR CAVE RD, CLARKSVILLE, TN 37043-8828
(931) 249-2143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
Other
Enumeration date
07/31/2021
Last updated
11/09/2023
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