Individual
LAUREL M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT #141619
Contact information
Practice address
375 89TH ST, DALY CITY, CA 94015-1802
(650) 301-8650
Mailing address
210 S ELLSWORTH AVE, PO BOX 1427, SAN MATEO, CA 94401-0857
(314) 825-8166
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
106H00000X
Marriage & Family Therapist
141619
CA
Other
Enumeration date
08/15/2017
Last updated
12/06/2023
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