Elizabeth Fedrick, LPC
Counselor, Professional in Gilbert, AZ. Individual provider (NPI-1).
NPI number1154770113
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1154770113
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Fedrick
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2016
- Last updated
- Jun 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-17899 | AZ | Yes |
| 101YM0800X | Counselor, Mental Health | LAC-15833 | AZ |
Practice location
1206 E Warner Rd Ste 203Gilbert, AZ 85296-3132
Phone 480-590-3915
Mailing address
7400 S Power Rd Ste 116Gilbert, AZ 85297-9282
Phone 480-988-5003
Other practice locations
288 N Ironwood Dr
Apache Junction, AZ 85120-3830
Apache Junction, AZ 85120-3830
Phone 480-828-1075
288 N Ironwood Dr
Apache Junction, AZ 85120-3830
Apache Junction, AZ 85120-3830
Phone 480-828-1075
7400 S Power Rd Ste 116
Gilbert, AZ 85297-9282
Gilbert, AZ 85297-9282
Phone 480-988-5003
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