MEDICARE: ANNE T ATKINSON LPC, NCC

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	LPC-2200	AZ
2	101YP2500X	Professional Counselor	LPC-2200	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174695639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE T ATKINSON LPC, NCC

Provider Business Mailing Address
First Line	:	3974 E VIA DEL VERDEMAR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-3305
Country	:	US
Telephone Number	:	602-421-3345
Fax Number	:

Provider Business Practice Location Address
First Line	:	3974 E VIA DEL VERDEMAR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-3305
Country	:	US
Telephone Number	:	602-421-3345
Fax Number	:

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	03/02/2021

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