Provider Demographics
NPI:1801965199
Name:MCELFRESH, WILLIAM D (LPC0765)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:D
Last Name:MCELFRESH
Suffix:
Gender:M
Credentials:LPC0765
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4111 E VALLEY AUTO DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4605
Mailing Address - Country:US
Mailing Address - Phone:480-528-2811
Mailing Address - Fax:480-813-2987
Practice Address - Street 1:4111 E VALLEY AUTO DR
Practice Address - Street 2:SUITE 201
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4605
Practice Address - Country:US
Practice Address - Phone:480-528-2811
Practice Address - Fax:480-813-2987
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC0765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLPC0765OtherTHERAPIST
AZLISAC-0266OtherSUBSTANCE ABUSE COUNSELOR