MEDICARE: MRS. GAIL FRANCES HARPER MA LPC

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	101YP2500X	Professional Counselor	LPC0428	AZ

General Provider Information

NPI Number	:	1538271853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GAIL FRANCES HARPER MA LPC

Provider Business Mailing Address
First Line	:	17100 N 67TH AVE STE 400
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-3698
Country	:	US
Telephone Number	:	602-863-6859
Fax Number	:	602-938-1626

Provider Business Practice Location Address
First Line	:	17100 N 67TH AVE STE 400
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-3698
Country	:	US
Telephone Number	:	602-863-6859
Fax Number	:	602-938-1626

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/12/2014

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