Individual
ELLEN LEE CANACAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 W CLARENDON AVE, SUITE 140, PHOENIX, AZ 85013-3420
(602) 591-8165
(602) 279-7982
Mailing address
300 W CLARENDON AVE, SUITE 140, PHOENIX, AZ 85013-3420
(602) 591-8165
(602) 279-7982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC11586
AZ
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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