| Carissa Elliott And Michael Leach | |
|
127 W 2nd St Ste 201 Chadron NE 69337-2883 | |
| (308) 430-4273 | |
| Not Available |
| Full Name | Carissa Elliott And Michael Leach |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 127 W 2nd St Ste 201, Chadron, Nebraska |
| Authorized Official Name and Position | Carissa Elliott (PARTNER) |
| Authorized Official Contact | 3084304273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carissa Elliott And Michael Leach 522 N Morehead St Chadron NE 69337-2135 Ph: () - | Carissa Elliott And Michael Leach 127 W 2nd St Ste 201 Chadron NE 69337-2883 Ph: (308) 430-4273 |
| NPI Number | 1427508720 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427508720 | NPI | - | NPPES |
| 10026164200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3671 (Nebraska) | Primary |
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