Individual
ELLEN DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1703 W MCNAIR ST, CHANDLER, AZ 85224-1262
(602) 819-3596
Mailing address
1703 W MCNAIR ST, CHANDLER, AZ 85224-1262
(602) 819-3596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 2132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174768
—
AZ
Enumeration date
03/28/2007
Last updated
05/06/2009
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