| Doctor Name: | DAVID ELLIOTT |
| NPI Number: | 1073673885 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MFT, LADC |
| License Number: | 623L |
| Business Practice Address: | 3595 Hwy 50 West Silver Springs, NV - 89429 |
| Business Phone Number: | 7755770319 |
| Business Fax Number: | 7755779571 |
| Mailing Address: | 4126 Technology Way, CARSON CITY |
| State: | NV |
| Postal Code: | 897062009 |
| Phone Number: | 7756877573 |
| Fax Number: | 7756877544 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 623L |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |