MEDICARE: MRS. ERIKA KNUCK-BIAZO MC,NCC,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	101Y00000X	Counselor	LPC-11605	AZ

General Provider Information

NPI Number	:	1013011725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIKA KNUCK-BIAZO MC,NCC,LPC

Provider Business Mailing Address
First Line	:	8522 N SUNNY ROCK RIDGE DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-1446
Country	:	US
Telephone Number	:	520-954-6675
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1514
Country	:	US
Telephone Number	:	520-954-6675
Fax Number	:

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	07/08/2007

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