MEDICARE: VICTORIA LYNN LOMELINO-TEWA 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	0115211	NM
2	101YP2500X	Professional Counselor	16273	AZ

General Provider Information

NPI Number	:	1679704803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA LYNN LOMELINO-TEWA LPC

Provider Business Mailing Address
First Line	:	9298 SLAYTON RANCH RD
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-3373
Country	:	US
Telephone Number	:	505-205-6215
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 N CENTRAL AVE FL 18
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-2322
Country	:	US
Telephone Number	:	646-453-6777
Fax Number	:	929-596-7897

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

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	09/25/2025

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