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NPI Code Detail

MEDICARE: TREASURE HOWARD

MEDICARE: TREASURE HOWARD
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
1101YM0800XMental Health CounselorLAC-23768AZ

General Provider Information

NPI Number : 1457909467
Entity Type Code : Individual
Provider Name (Legal Business Name) : TREASURE HOWARD
Provider Business Mailing Address
First Line : 333 W ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85003-1324
Country : US
Telephone Number : 623-695-7980
Fax Number :
Provider Business Practice Location Address
First Line : 333 W ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85003-1324
Country : US
Telephone Number : 623-695-7980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2019
Last Update Date : 10/03/2025

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Directions to “ TREASURE HOWARD ” Practice Location

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