Individual
MR. MATTHEW W ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
629 INGLE ST, EVANSVILLE, IN 47708-1345
(812) 602-4022
Mailing address
629 INGLE ST, EVANSVILLE, IN 47708-1345
(812) 602-4022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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