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Individual

ALICIA M ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6380 LBJ FWY STE 299, DALLAS, TX 75240-6439
(972) 755-0996
(972) 386-5229
Mailing address
6380 LBJ FWY STE 299, DALLAS, TX 75240-6439
(972) 755-0996
(972) 386-5229

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66266
TX
101YM0800X
Mental Health Counselor
66266
TX
101YP2500X
Professional Counselor
TX
106H00000X
Marriage & Family Therapist
66266
TX

Other

Enumeration date
04/13/2012
Last updated
04/13/2012
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