MEDICARE: DANA COMBS 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1376386573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA COMBS LAC

Provider Business Mailing Address
First Line	:	3501 S MCCLINTOCK DR APT 1006
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-5872
Country	:	US
Telephone Number	:	630-299-6786
Fax Number	:

Provider Business Practice Location Address
First Line	:	3377 S PRICE RD STE 110
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-3578
Country	:	US
Telephone Number	:	480-280-8888
Fax Number	:

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

Provider Enumeration Date	:	06/15/2024
Last Update Date	:	12/09/2025

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Directions to “ DANA COMBS LAC” Practice Location

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