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NPI Code Detail

MEDICARE: MRS. STEPHANIE ANNE ADLER MA, LAC, NCC

MEDICARE: MRS. STEPHANIE ANNE ADLER MA, LAC, NCC
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-18395AZ
2101Y00000XCounselorLAC-18395AZ

General Provider Information

NPI Number : 1518503630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE ANNE ADLER MA, LAC, NCC
Provider Business Mailing Address
First Line : 8510 N IRONWOOD RESERVE WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85743-1070
Country : US
Telephone Number : 520-240-2311
Fax Number :
Provider Business Practice Location Address
First Line : 6700 N ORACLE RD STE 412
Second Line :
City : TUCSON
State : AZ
Zip : 85704-7734
Country : US
Telephone Number : 520-240-2311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2019
Last Update Date : 11/24/2019

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