MEDICARE: MAYA ALEJANDRA ALBRECHT HOLM

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-08376T	AZ

General Provider Information

NPI Number	:	1205791076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYA ALEJANDRA ALBRECHT HOLM

Provider Business Mailing Address
First Line	:	6700 N ORACLE RD STE 119
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-7733
Country	:	US
Telephone Number	:	480-349-3671
Fax Number	:	480-608-0011

Provider Business Practice Location Address
First Line	:	6700 N ORACLE RD STE 119
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-7733
Country	:	US
Telephone Number	:	480-349-3671
Fax Number	:	480-608-0011

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

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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