Search › Indiana › 101YM0800X
Jason Elliott, MA, LMHC
NPI 1164738746 · on the registry since 2010
Practice
- Address
- 2100 Goshen Rd
Fort Wayne, IN 46808 - Phone
- (260) 471-3500
- Fax
- (260) 471-4263
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 102
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana