Organization
ELEVATION COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON R MARTIN LCSW (SOLE OWNER)
(623) 606-5522
Entity
Organization
Contact information
Practice address
17505 N 79TH AVE STE 304A, GLENDALE, AZ 85308-8729
(623) 606-5522
(623) 878-5800
Mailing address
7558 W THUNDERBIRD RD STE 1-492, PEORIA, AZ 85381-6080
(623) 606-5522
(623) 878-5800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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