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NPI Code Detail

MEDICARE: LEANDRA TREUSCH FIFER LPC

MEDICARE: LEANDRA TREUSCH FIFER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC-18563AZ

General Provider Information

NPI Number : 1053957100
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANDRA TREUSCH FIFER LPC
Provider Business Mailing Address
First Line : 4601 E FORT LOWELL RD STE 131
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1183
Country : US
Telephone Number : 520-396-4413
Fax Number :
Provider Business Practice Location Address
First Line : 4601 E FORT LOWELL RD STE 131
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1183
Country : US
Telephone Number : 520-396-4413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2019
Last Update Date : 09/22/2020

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Directions to “ LEANDRA TREUSCH FIFER LPC” Practice Location

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