Individual
MS. ELAINE KAY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC LPC
Contact information
Practice address
7111 N 7TH STREET, PHOENIX, AZ 85020
(602) 440-8894
(602) 870-3890
Mailing address
145 EAST LAWRENCE ROAD, PHOENIX, AZ 85012
(602) 405-8894
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0530
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968935
—
AZ
Enumeration date
09/07/2006
Last updated
07/08/2007
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