Doctor Name: | MRS. SUZANNE MARIE ELTON |
NPI Number: | 1225057706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC |
License Number: | LH00011152 |
Business Practice Address: | 7100 Sw Hampton St Ste 128 Tigard, OR - 972238315 |
Business Phone Number: | 5038287878 |
Business Fax Number: | 9719257001 |
Mailing Address: | 14440 Sw 153rd Ave, TIGARD |
State: | OR |
Postal Code: | 972241876 |
Phone Number: | 5038287878 |
Fax Number: | 9719257001 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 05/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LH00011152 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |