Individual
KIMBERLY A ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
PO BOX 3742, FLAGSTAFF, AZ 86003-3742
(928) 707-9030
Mailing address
PO BOX 3742, FLAGSTAFF, AZ 86003-3742
(740) 837-0246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0017742
CO
101YM0800X
Mental Health Counselor
C.100336
OH
101YM0800X
Mental Health Counselor
CTB-2023-0220
NM
101YP2500X
Professional Counselor
0017742
CO
101YP2500X
Professional Counselor
Primary
19698
AZ
101YP2500X
Professional Counselor
C.100336
OH
101YP2500X
Professional Counselor
CTB-2023-0220
NM
Other
Enumeration date
12/05/2017
Last updated
04/16/2026
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