Old Pueblo Counseling, Incorporated | |
380 E Fort Lowell Rd Ste 120 Tucson AZ 85705-3981 | |
(520) 624-6797 | |
(520) 624-6977 |
Full Name | Old Pueblo Counseling, Incorporated |
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Speciality | Counselor - Mental Health |
Location | 380 E Fort Lowell Rd Ste 120, Tucson, Arizona |
Authorized Official Name and Position | Lynn Gransie Barwick (ADMINISTRATOR/OWNER) |
Authorized Official Contact | 5206246797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Old Pueblo Counseling, Incorporated 380 E Fort Lowell Rd Ste 120 Tucson AZ 85705-3981 Ph: (520) 624-6797 | Old Pueblo Counseling, Incorporated 380 E Fort Lowell Rd Ste 120 Tucson AZ 85705-3981 Ph: (520) 624-6797 |
NPI Number | 1982908638 |
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Provider Enumeration Date | 01/10/2011 |
Last Update Date | 01/10/2011 |
Identifier | Type | State | Issuer |
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1982908638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | BH-3343 (Arizona) | Primary |
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