Individual
ELLEN SOHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC, LISAC
Contact information
Practice address
4500 N 32ND ST, SUITE, 100, PHOENIX, AZ 85018-3396
(602) 954-9250
(602) 954-9260
Mailing address
4500 N 32ND ST, SUITE, 100, PHOENIX, AZ 85018-3396
(602) 954-9250
(602) 954-9260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10362
AZ
101YP2500X
Professional Counselor
Primary
LPC-10584
AZ
Other
Enumeration date
02/09/2008
Last updated
02/09/2008
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