MEDICARE: MS. GAYE ANNE ADAMS MA ATR 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	101YM0800X	Mental Health Counselor	LPC 10249	AZ

General Provider Information

NPI Number	:	1770637944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GAYE ANNE ADAMS MA ATR LPC

Provider Business Mailing Address
First Line	:	2202 E WATER ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-3439
Country	:	US
Telephone Number	:	520-326-9622
Fax Number	:	520-326-9622

Provider Business Practice Location Address
First Line	:	2260 E SPRING ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-3433
Country	:	US
Telephone Number	:	520-326-9622
Fax Number	:	520-326-9622

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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