Individual provider · Type 1 NPI
Ellen Lee Canacakos, LPC
Mental Health Counselor · Phoenix, AZ
NPI number
1609063643
Active
Practice location
300 W Clarendon Ave, Suite 140
Phoenix, AZ 85013-3420
Fax (602) 279-7982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC11586 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1609063643
Ellen Lee Canacakos, LPC's National Provider Identifier is 1609063643, issued on Oct 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 3, 2007.