Individual
JENNIFER ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
300 E MAPLE RD STE 318, BIRMINGHAM, MI 48009-6311
(248) 439-1415
Mailing address
300 E MAPLE RD STE 318, BIRMINGHAM, MI 48009-6311
(248) 439-1415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011791
MI
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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