Individual
ELLIOTT JASON ECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7481 W. OAKLAND PARK BLVD,, SUITE 100, LAUDERHILL, FL 33319-4985
(888) 852-6672
(786) 235-6225
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW15145
FL
1041C0700X
Clinical Social Worker
Primary
SW15145
FL
Other
Enumeration date
05/15/2018
Last updated
01/28/2019
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