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NPI Code Detail

MEDICARE: WILLIAM GARDNER BARKER LAC

MEDICARE:   WILLIAM GARDNER BARKER  LAC
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
1101Y00000XCounselorAZ

General Provider Information

NPI Number : 1174469589
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM GARDNER BARKER LAC
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 4888 N STONE AVE UNIT 120
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5749
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 05/19/2026

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Directions to “ WILLIAM GARDNER BARKER LAC” Practice Location

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