MEDICARE: MRS. VICTORIA HELENE SINGER LMFT

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	106H00000X	Marriage & Family Therapist	0285	AZ

General Provider Information

NPI Number	:	1487360236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VICTORIA HELENE SINGER LMFT

Provider Business Mailing Address
First Line	:	2387 W OLD STEWART RD
Second Line	:
City	:	WILLCOX
State	:	AZ
Zip	:	85643-3211
Country	:	US
Telephone Number	:	520-237-8208
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 E MALEY ST
Second Line	:
City	:	WILLCOX
State	:	AZ
Zip	:	85643-2127
Country	:	US
Telephone Number	:	520-237-8208
Fax Number	:

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

Provider Enumeration Date	:	01/25/2023
Last Update Date	:	01/25/2023

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