Individual
LISA ELIZABETH ELSBECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
528 W LEWIS AVE, PHOENIX, AZ 85003-1017
(623) 687-1552
Mailing address
528 W LEWIS AVE, PHOENIX, AZ 85003-1017
(623) 687-1552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17889
AZ
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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