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Individual

MR. JAMES ERNEST ELLIOTT III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1955 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
(562) 437-6717
Mailing address
1955 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
(562) 437-6717

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
22110
CA
106H00000X
Marriage & Family Therapist
Primary
161870
CA
172V00000X
Community Health Worker
Primary

Other

Enumeration date
11/18/2020
Last updated
04/10/2026
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