Individual
REBECCA JEAN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7409 ELLINGWOOD CIR, FREDERICK, CO 80504-5884
(847) 400-4278
Mailing address
7409 ELLINGWOOD CIR, FREDERICK, CO 80504-5884
(847) 400-4278
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0014308
CO
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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