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General NPI Number Information
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NPI Number | 1003315292
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Entity Type | Organization
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Legal Business Name | PERCEPTION COUNSELING
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1213 E WAREHOUSE AVENUE
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City | TUCSON
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State | AZ
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Zip | 85719
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Country | US
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Telephone | 520-623-7077
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 W PIMA FARMS RD
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City | TUCSON
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State | AZ
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Zip | 85741-4606
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Country | US
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Telephone | 520-300-0176
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Fax |
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Authorized Official
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Title or Position | CEO OWNER
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Name | DEBRA K LOWTHER
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Credential | PSYCHOLOGY
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Telephone | 520-300-0176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LPC15863
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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