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Individual

HAROLD EDWARD ECKHOLM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.C.,M.F.T.,N.C.C

Contact information

Practice address
4414 E LARIAT LN, PHOENIX, AZ 85050-8590
(480) 699-6750
Mailing address
4414 E LARIAT LN, PHOENIX, AZ 85050-8590
(480) 699-6750

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
30187
VA
101YM0800X
Mental Health Counselor
0701001918
VA
101YP2500X
Professional Counselor
LC 2332
AZ
106H00000X
Marriage & Family Therapist
0717000697
VA

Other

Enumeration date
05/24/2007
Last updated
09/11/2025
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