Provider Demographics
NPI:1184959637
Name:PARHAM, CLARICE (MA, LPC)
Entity type:Individual
Prefix:
First Name:CLARICE
Middle Name:
Last Name:PARHAM
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 N CENTRAL AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1341
Mailing Address - Country:US
Mailing Address - Phone:602-264-9891
Mailing Address - Fax:602-234-2639
Practice Address - Street 1:2400 N CENTRAL AVE
Practice Address - Street 2:STE 400
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1341
Practice Address - Country:US
Practice Address - Phone:602-264-9891
Practice Address - Fax:602-234-2639
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-2306101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health