Durant, Ellen

Durant, Ellen is an sole proprietor health care provider with primary practice located at 1703 W Mcnair St , Chandler AZ 85224-1262. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Durant, Ellen can be contacted via phone (602) 819-3596.

Contact Information

Primary practice address
1703 W Mcnair St Chandler AZ 85224-1262
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 2132 Arizona

Profile Details

NPI number 1164541421
LBN Legal business name Durant, Ellen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated May 6th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164541421 NPPES
Arizona MEDICAID 174768

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