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NPI Code Detail

MEDICARE: RACHEL BROOME LPC, SEP, MS

MEDICARE:   RACHEL  BROOME  LPC, SEP, MS
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
1101Y00000XCounselorLPC-20578AZ

General Provider Information

NPI Number : 1114670346
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BROOME LPC, SEP, MS
Provider Business Mailing Address
First Line : 8901 E OLD SPANISH TRL
Second Line :
City : TUCSON
State : AZ
Zip : 85710-6251
Country : US
Telephone Number : 520-508-6817
Fax Number :
Provider Business Practice Location Address
First Line : 2201 N CAMINO PRINCIPAL STE 165
Second Line :
City : TUCSON
State : AZ
Zip : 85715-5334
Country : US
Telephone Number : 520-508-6817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2022
Last Update Date : 02/03/2022

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Directions to “ RACHEL BROOME LPC, SEP, MS” Practice Location

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