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NPI Code Detail

MEDICARE: MRS. REBECCA DAWN ELLIOTT LCPC

MEDICARE: MRS. REBECCA DAWN ELLIOTT LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2552KS
2101YP2500XProfessional Counselor2580KS

General Provider Information

NPI Number : 1225463318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA DAWN ELLIOTT LCPC
Provider Business Mailing Address
First Line : 9401 INDIAN CREEK PKWY STE 520
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66210-2013
Country : US
Telephone Number : 913-375-3059
Fax Number :
Provider Business Practice Location Address
First Line : 9401 INDIAN CREEK PKWY STE 520
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66210-2013
Country : US
Telephone Number : 913-375-3059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2013
Last Update Date : 04/23/2021

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Directions to “ MRS. REBECCA DAWN ELLIOTT LCPC” Practice Location

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