Individual
TAEGAN ELMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MC
Contact information
Practice address
6151-6153 W OLIVE AVE, GLENDALE, AZ 85302-4598
(602) 685-6000
(602) 389-3599
Mailing address
3003 N CENTRAL AVE, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17069
AZ
Other
Enumeration date
05/04/2016
Last updated
08/26/2024
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