Individual
LORI ELLEZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W DUNLAP AVE, SUITE 300, PHOENIX, AZ 85021-2817
(602) 943-2999
(602) 943-4284
Mailing address
2400 W DUNLAP AVE, SUITE 300, PHOENIX, AZ 85021-2817
(602) 943-2999
(602) 943-4284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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