Individual
MRS. ELIZABETH ANTOINETTE HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3345 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2283
(928) 583-6411
Mailing address
907 YAVAPAI HILLS DR, PRESCOTT, AZ 86301-6715
(928) 830-9002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-13214
AZ
101YP2500X
Professional Counselor
7320
NC
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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