Mandy Elliott
Counselor, Addiction (Substance Use Disorder) in Jackson, OH. Individual provider (NPI-1).
NPI number1710694096
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1710694096
- Entity type
- Individual (NPI-1)
- Name
- Mandy Elliott
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2022
- Certification date
- Nov 14, 2025
- Last updated
- Nov 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
502 McCarty LnJackson, OH 45640-7020
Phone 740-577-9003
Mailing address
219 Columbia StJackson, OH 45640-1771
Phone 740-577-9003
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All 64 Addiction (Substance Use Disorder) Counselor providers in Jackson · All 555 providers in Jackson
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