Individual
MR. JAMES R F ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
128 S ILLINOIS ST, SUITE B, MONTICELLO, IN 47960-1041
(574) 583-5656
Mailing address
PO BOX 1041, MONTICELLO, IN 47960-1041
(574) 583-5656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000130A
IN
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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