Organization
ELEVATION HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THOMPSON (OWNER)
(602) 799-2247
Entity
Organization
Contact information
Practice address
5333 N 7TH ST STE 310B, PHOENIX, AZ 85014-2854
(602) 799-2247
Mailing address
4 W PINE ST, LODI, CA 95240-2118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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