Individual
G.W. BILL ELLIOTT JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
409 S BUCKEYE ST, IOLA, KS 66749-3305
(512) 777-1034
Mailing address
409 S BUCKEYE ST, IOLA, KS 66749-3305
(512) 777-1034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
11/22/2025
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