Provider Demographics
NPI:1043994593
Name:PARKER-JOHNSON, ELIZABETH A (MA,LPC, NCC, PLLC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:PARKER-JOHNSON
Suffix:
Gender:F
Credentials:MA,LPC, NCC, PLLC
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:PARKER-JOHNSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:300 W CLARENDON AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3449
Mailing Address - Country:US
Mailing Address - Phone:602-377-3321
Mailing Address - Fax:
Practice Address - Street 1:300 W CLARENDON AVE STE 140
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-3449
Practice Address - Country:US
Practice Address - Phone:602-377-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-13202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional