Eliseo, Amanda Joan
Eliseo, Amanda Joan is an individual health care provider with primary practice located at 914 E Gurley St Ste 200 , Prescott AZ 86301-3245. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Eliseo, Amanda Joan can be contacted via phone (928) 899-9677.Contact Information
Primary practice address
914 E Gurley St Ste 200
Prescott AZ 86301-3245
Phone: (928) 899-9677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC-15329 | Arizona |
Profile Details
| NPI number | 1508237645 |
|---|---|
| LBN Legal business name | Eliseo, Amanda Joan |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2015 |
| Last updated | Jul 28th, 2023 - about last year |
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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