JOB ELLIOTT L.I.S.A.C. L.A.C. NPI 1932564697

NPI Information

NPI: 1932564697
Provider Name: JOB ELLIOTT, L.I.S.A.C., L.A.C.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4105 W SAINT CHARLES AVE
PHOENIX, AZ
ZIP 85041
Phone: (480) 233-5511
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Job Elliott, L.I.S.A.C., L.A.C. is an addiction (substance use disorder) counselor in Phoenix, AZ. Job Elliott, L.I.S.A.C., L.A.C. NPI is 1932564697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4105 W SAINT CHARLES AVE
PHOENIX, AZ
ZIP 85041
Phone: (480) 233-5511

The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LAC-15368	ARIZONA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-15039	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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