Elliott, Jeffrey Bryan

Elliott, Jeffrey Bryan is an individual health care provider with primary practice located at 4824 E Baseline Rd Suite 124, Mesa AZ 85206-4676. He recently has 2 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 / Counselor is his primary health care specialty. Elliott, Jeffrey Bryan can be contacted via phone (602) 550-2073.

Contact Information

Primary practice address
4824 E Baseline Rd Suite 124 Mesa AZ 85206-4676
Phone: (602) 550-2073
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-10063 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10173 Arizona

Profile Details

NPI number 1649460312
LBN Legal business name Elliott, Jeffrey Bryan
Credentials M.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 30th, 2007 - about 17 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.

Request for update

Popular Providers