Individual
ELENA ELLAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8098 PRECINCT LINE RD STE 110, COLLEYVILLE, TX 76034-7694
(214) 225-0202
Mailing address
1646 E CORONADO RD, PHOENIX, AZ 85006-1922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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