Individual
MS. SUSAN CARTER ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
2 GRAVES AVE, GUILFORD, CT 06437-2626
(203) 453-4320
Mailing address
2 GRAVES AVE, GUILFORD, CT 06437-2626
(203) 453-4320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000101
CT
101YM0800X
Mental Health Counselor
Primary
000149
CT
Other
Enumeration date
03/09/2007
Last updated
04/30/2008
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