Individual
MS. AVEDON ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC80053
Contact information
Practice address
3830 EVANS AVE, FORT MYERS, FL 33901-9305
(239) 939-2808
Mailing address
5659 CECINA DR, FRISCO, TX 75034-2392
(239) 478-1975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
80053
TX
Other
Enumeration date
01/15/2014
Last updated
05/12/2023
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