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MR. JOSEPH PHILIP ELLIOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
2620 PERKINS CREEK DR, PADUCAH, KY 42001-7494
(270) 444-8465
Mailing address
2996 MASSAC CREEK RD, METROPOLIS, IL 62960-3124
(270) 841-0315
(618) 524-9551

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004111
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006415003
BCBS
01
133175100
OWCP
01
289899
MHN
Enumeration date
12/13/2006
Last updated
04/05/2024
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