MEDICARE: STEPHANIE R. UNGER 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	101YM0800X	Mental Health Counselor	0153861	NM
2	101YP2500X	Professional Counselor	LPC-20955	AZ

General Provider Information

NPI Number	:	1366888232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE R. UNGER LPC

Provider Business Mailing Address
First Line	:	8662 N PECCARY CREEK TRL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-1422
Country	:	US
Telephone Number	:	575-313-0074
Fax Number	:

Provider Business Practice Location Address
First Line	:	8662 N PECCARY CREEK TRL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-1422
Country	:	US
Telephone Number	:	575-313-0074
Fax Number	:

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

Provider Enumeration Date	:	05/17/2013
Last Update Date	:	11/06/2024

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