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
Phone: (602) 819-3596
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164541421 | NPPES |
| Arizona | MEDICAID | 174768 |
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