Individual
MS. ELISSA C. LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
10640 N 28TH DR STE C205 # 15, PHOENIX, AZ 85029-2936
(602) 866-0713
Mailing address
10640 N 28TH DR STE C205 # 15, PHOENIX, AZ 85029-2936
(602) 866-0713
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2211
AZ
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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