DR. Jacqulyn Lanay Elmore, PHD

NPI #1205403755 in Rock Island, Illinois

Provider Information

NPI Number: 1205403755
Entity Type: Individual
Name: DR. Jacqulyn Lanay Elmore, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: PHD
Enumeration Date: Jun 4, 2021
Last Updated: Jun 4, 2021

Practice Location

Address: 2200 3RD AVE
City: Rock Island
State: Illinois
ZIP Code: 61201-8840
Phone: (309) 779-2094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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