Individual
LISA ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
564 N IDAHO RD, APACHE JUNCTION, AZ 85219-4002
(480) 893-0065
(480) 983-3676
Mailing address
PO BOX 3160, APACHE JUNCTION, AZ 85117-3160
(480) 474-5618
(480) 288-5339
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10297
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
08/18/2009
Last updated
08/18/2009
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