Individual
ELIZABETH POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1209 S 1ST AVE, PHOENIX, AZ 85003-2692
(602) 258-6797
Mailing address
1209 S 1ST AVE, PHOENIX, AZ 85003-2692
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-222490
AZ
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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