Individual provider · Type 1 NPI

Lori Ellezian

Mental Health Counselor · Phoenix, AZ

NPI number 1730514746 Active

Practice location

2400 W Dunlap Ave, Suite 300
Phoenix, AZ 85021-2817

Fax (602) 943-4284

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730514746

Lori Ellezian's National Provider Identifier is 1730514746, issued on Sep 9, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 9, 2013.