Individual
ELIAS MORAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11225 N 28TH DR STE C206, PHOENIX, AZ 85029-5600
(623) 466-4159
(623) 439-7349
Mailing address
PO BOX 129, LITCHFIELD PARK, AZ 85340-0129
(623) 466-4159
(623) 439-7349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC17482
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1775883
—
AZ
Enumeration date
07/30/2013
Last updated
09/19/2022
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