Individual
BREANNA TIFFANY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-R
Contact information
Practice address
806 BELL FORK RD, JACKSONVILLE, NC 28540-6312
(910) 347-2205
Mailing address
309 BUBBLING BROOK LN, JACKSONVILLE, NC 28546-4653
(433) 912-2024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26280
NC
Other
Enumeration date
03/10/2020
Last updated
11/27/2023
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