Individual
JOB ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C ;L.I.A.C
Contact information
Practice address
2122 E LANTANA DR, CHANDLER, AZ 85286-0291
(480) 233-5511
Mailing address
2122 E LANTANA DR, CHANDLER, AZ 85286-0291
(480) 233-5511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-15368
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15039
AZ
101YM0800X
Mental Health Counselor
LPC-17557
AZ
Other
Enumeration date
12/23/2015
Last updated
06/15/2026
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