Individual
KAYLA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
QMHS
OH
171M00000X
Case Manager/Care Coordinator
2022
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
QMHS
OH
Other
Enumeration date
10/13/2022
Last updated
10/20/2022
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