Individual
JOB ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.S.A.C., L.A.C.
Contact information
Practice address
4105 W SAINT CHARLES AVE, PHOENIX, AZ 85041
(480) 233-5511
Mailing address
4105 W SAINT CHARLES AVE, PHOENIX, AZ 85041-4980
(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
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us