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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None 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.