| Doctor Name: | TAEGAN ELMER |
| NPI Number: | 1275989626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MC, LAC |
| License Number: | LAC-15774 |
| Business Practice Address: | 29 Northridge Cir Wickenburg, AZ - 853903513 |
| Business Phone Number: | 5208695605 |
| Business Fax Number: | |
| Mailing Address: | 29 Northridge Cir, WICKENBURG |
| State: | AZ |
| Postal Code: | 853903513 |
| Phone Number: | 5208695605 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2016 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LAC-15774 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |