MEDICARE: MS. REBECCA L HOWARD 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	101YP2500X	Professional Counselor	LPC-12959	AZ

General Provider Information

NPI Number	:	1154583003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA L HOWARD LPC

Provider Business Mailing Address
First Line	:	1735 E FORT LOWELL RD STE 1
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2358
Country	:	US
Telephone Number	:	520-869-2327
Fax Number	:	520-462-0615

Provider Business Practice Location Address
First Line	:	2550 E FORT LOWELL RD
Second Line	:	#U
City	:	TUCSON
State	:	AZ
Zip	:	85716-1514
Country	:	US
Telephone Number	:	520-869-2327
Fax Number	:	520-887-3114

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

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	12/14/2023

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