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General NPI Number Information
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NPI Number | 1144028325
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Entity Type | Individual
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Provider Name | LISA ELSIE ELLIOTT AMFT
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2230 PROFESSIONAL DR STE A
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City | SANTA ROSA
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State | CA
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Zip | 95403-3015
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Country | US
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Telephone | 707-483-9061
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 ROSEMARY CT
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City | PETALUMA
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State | CA
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Zip | 94954-4685
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Country | US
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Telephone | 707-486-0971
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 142231
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License Number State | CA
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