Individual
JODY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 WESTMINSTER ST, FITCHBURG, MA 01420-4727
(978) 345-0685
(978) 342-8495
Mailing address
545 WESTMINSTER ST, FITCHBURG, MA 01420-4727
(978) 345-0685
(978) 342-8495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7625
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7625
LIC. MENTAL HEALTH COUNSELOR
MA
Enumeration date
06/03/2011
Last updated
06/03/2011
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