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Individual

JAMES SAMPLE ELLIOTT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
400 TECHNOLOGY CT SE STE J, SMYRNA, GA 30082-5237
(770) 431-2354
(770) 436-7143
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010314
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26216
CERTIFIED REHABILITATION COUNSELOR
01
718756
NCC
01
LPC010314
LICENSED PROFESSIONAL COUNSELOR #
GA
Enumeration date
02/03/2019
Last updated
01/14/2026
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