Elizalde, Javier
Elizalde, Javier is an individual health care provider with primary practice located at 6020 Dawson Blvd Ste I , Norcross GA 30093-1259. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Elizalde, Javier can be contacted via phone (770) 662-0249.Contact Information
Primary practice address
6020 Dawson Blvd Ste I
Norcross GA 30093-1259
Phone: (770) 662-0249
Fax: (770) 449-5023
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1932372216 |
---|---|
LBN Legal business name | Elizalde, Javier |
Credentials | NCAC II |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 8th, 2008 |
Last updated | Apr 8th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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