Individual
AMANDA JOAN ELISEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
914 E GURLEY ST STE 200, PRESCOTT, AZ 86301-3245
(928) 899-9677
Mailing address
914 E GURLEY ST STE 200, PRESCOTT, AZ 86301-3245
(928) 899-9677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-15329
AZ
Other
Enumeration date
10/15/2015
Last updated
07/28/2023
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