MEDICARE: ADA GINGYEN LAM

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	101YS0200X	School Counselor	6567400	AZ
2	101YM0800X	Mental Health Counselor	LAC-22521	AZ

General Provider Information

NPI Number	:	1366394678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADA GINGYEN LAM

Provider Business Mailing Address
First Line	:	6137 E GRANT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-5829
Country	:	US
Telephone Number	:	520-436-3922
Fax Number	:

Provider Business Practice Location Address
First Line	:	6137 E GRANT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-5829
Country	:	US
Telephone Number	:	520-436-3922
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ ADA GINGYEN LAM ” Practice Location

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