Individual
MR. JOSHUA A ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
114 DENNIS DR, LEXINGTON, KY 40503
(859) 536-5932
(859) 201-1329
Mailing address
2892 PEAKS MILL DR, LEXINGTON, KY 40511-8876
(859) 536-5932
(859) 201-1329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
164143
KY
101YP2500X
Professional Counselor
Primary
164143
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
05
—
7100344790
—
KY
Enumeration date
08/27/2008
Last updated
07/27/2018
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