Individual
JENIFFER ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
410 CENTRAL AVE STE 512, GREAT FALLS, MT 59401-3128
(406) 781-3087
(406) 866-0330
Mailing address
PO BOX 1953, GREAT FALLS, MT 59403-1953
(406) 781-3087
(406) 866-0330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7333
MT
101YP2500X
Professional Counselor
Primary
7333
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422188
—
MT
Enumeration date
08/11/2015
Last updated
04/29/2021
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