MEDICARE: CHARLOTTE ANN PEPER 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
1	101YP2500X	Professional Counselor	LPC-13406	AZ

General Provider Information

NPI Number	:	1073888020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE ANN PEPER LPC

Provider Business Mailing Address
First Line	:	2838 N FONTANA AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-4628
Country	:	US
Telephone Number	:	520-241-1326
Fax Number	:

Provider Business Practice Location Address
First Line	:	2838 N FONTANA AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-4628
Country	:	US
Telephone Number	:	520-241-1326
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	03/08/2012

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Directions to “ CHARLOTTE ANN PEPER LPC” Practice Location

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