Individual
MRS. ESTELLE THERESA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
531 S 2ND ST, SHOW LOW, AZ 85901-2735
(928) 245-1869
Mailing address
531 S 2ND ST, SHOW LOW, AZ 85901-2735
(928) 245-1869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC12265
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMHC 4865
LIC MH COUNSELOR
WA
01
—
LPC 12265
LPC
AZ
01
—
NCC 22995
NAT CERT COUNSELOR
AZ
Enumeration date
12/22/2006
Last updated
12/27/2007
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