Healthcare Provider Details

I. General information

NPI: 1871412114
Provider Name (Legal Business Name): MARIA C. RASCON-LOBATO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6867 N ORACLE RD
TUCSON AZ
85704-4264
US

IV. Provider business mailing address

1915 W AHMED AVE
TUCSON AZ
85704-1203
US

V. Phone/Fax

Practice location:
  • Phone: 520-307-4335
  • Fax:
Mailing address:
  • Phone: 520-307-4335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLAC-24230
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: