Individual
HEIDI LOUISE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2501 E CENTRAL AVE STE 2, WICHITA, KS 67214-3344
(316) 684-4673
Mailing address
8601 E KILLARNEY PL, WICHITA, KS 67206-1811
(316) 371-9545
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
04577
KS
Other
Enumeration date
01/08/2024
Last updated
01/09/2024
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