JASON ELLIOTT

FORT WAYNE, IN
NPI1164738746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002433A)
Enumeration Date2010-08-20
Last Update Date2013-01-07
Business Address
-- JASON ELLIOTT MA, LMHC
2100 GOSHEN RD
FORT WAYNE, IN 46808-1493
Phone number: 260-471-3500
Mailing Address
-- JASON ELLIOTT MA, LMHC
850 N HARRISON ST ATTN: ANNE LAWSON
WARSAW, IN 46580-3163
Phone number: 574-267-7169
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