Healthcare Provider Details

I. General information

NPI: 1609218239
Provider Name (Legal Business Name): ALISON ANN GAMEZ MA, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 W BASELINE RD
PHOENIX AZ
85041-6574
US

IV. Provider business mailing address

2030 W BASELINE RD
PHOENIX AZ
85041-6574
US

V. Phone/Fax

Practice location:
  • Phone: 623-937-9203
  • Fax: 623-930-0358
Mailing address:
  • Phone: 623-937-9203
  • Fax: 623-930-0358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-13402
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: