Individual
SHARON VANNESA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 CANBY AVE STE 3, RESEDA, CA 91335-2979
(818) 921-3466
Mailing address
7601 CANBY AVE STE 3, RESEDA, CA 91335-2979
(818) 921-3466
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-CEPJFO
CA
Other
Enumeration date
09/11/2019
Last updated
09/18/2023
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