Doctor Name: | HAROLD EDWARD ECKHOLM |
NPI Number: | 1336350164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C.,M.F.T.,N.C.C |
License Number: | 30187 |
Business Practice Address: | 4414 E Lariat Ln Phoenix, AZ - 850508590 |
Business Phone Number: | 4806996750 |
Business Fax Number: | |
Mailing Address: | 4414 E Lariat Ln, PHOENIX |
State: | AZ |
Postal Code: | 850508590 |
Phone Number: | 4806996750 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 30187 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |