MEDICARE: MAKKELL BAILLARGEON LAC

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	101YM0800X	Mental Health Counselor	LAC-08263T	AZ

General Provider Information

NPI Number	:	1174486781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKKELL BAILLARGEON LAC

Provider Business Mailing Address
First Line	:	17475 S RIDGERUNNER DR
Second Line	:
City	:	VAIL
State	:	AZ
Zip	:	85641-1465
Country	:	US
Telephone Number	:	406-230-0029
Fax Number	:

Provider Business Practice Location Address
First Line	:	6602 E CARONDELET DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-2119
Country	:	US
Telephone Number	:	520-524-4757
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

Similar Medicare Providers

1598398281 — MALORIE ALKEBULAN LCSW
Practice Location Address:

6602 E CARONDELET DR
TUCSON, AZ
85710-2119

Practice Phone: 520-214-0818
Practice Fax:

1518791938 — CORI HOLLAND
Practice Location Address:

6602 E CARONDELET DR
TUCSON, AZ
85710-2119

Practice Phone: 520-524-4757
Practice Fax:

1881697639 — DR. BARBARA JAMILA AUNG DPM
Practice Location Address:

6644 E CARONDELET DR
TUCSON, AZ
85710-2119

Practice Phone: 520-886-9866
Practice Fax:

1235128851 — DR. ANDREW S. TEDESCO M.D.
Practice Location Address:

6648 E CARONDELET DR
TUCSON, AZ
85710-2119

Practice Phone: 520-886-8151
Practice Fax: 520-885-1404

1609858893 — DR. BRUCE H LYNN MD
Practice Location Address:

6640 E CARONDELET DR
TUCSON, AZ
85710-2119

Practice Phone: 520-886-4199
Practice Fax: 520-886-3114

1508842881 — JOHN R KLEIN MD
Practice Location Address:

6618 E CARONDELET DR
TUCSON, AZ
85710-2119

Practice Phone: 520-290-0961
Practice Fax: 520-290-0965

Directions to “ MAKKELL BAILLARGEON LAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.