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General NPI Number Information
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NPI Number | 1750757993
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Entity Type | Individual
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Provider Name | JENIFFER ELLIOTT LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 410 CENTRAL AVE STE 512
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City | GREAT FALLS
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State | MT
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Zip | 59401-3128
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Country | US
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Telephone | 406-781-3087
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Fax | 406-866-0330
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Provider Business Mailing Address
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Address Line | PO BOX 1953
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City | GREAT FALLS
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State | MT
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Zip | 59403-1953
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Country | US
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Telephone | 406-781-3087
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Fax | 406-866-0330
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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 | 7333
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7333
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License Number State | MT
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