Elliott, James Randolph

Elliott, James Randolph is an sole proprietor health care provider with primary practice located at 615 Briarwood Ln , San Dimas CA 91773-3608. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elliott, James Randolph can be contacted via phone (909) 305-6978.

Contact Information

Primary practice address
615 Briarwood Ln San Dimas CA 91773-3608
Phone: (909) 305-6978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25485 California

Profile Details

NPI number 1992081103
LBN Legal business name Elliott, James Randolph
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2011
Last updated Nov 1st, 2011 - about 13 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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