MEDICARE: MR. ADAM SMITH LEIGHTON MFT

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	106H00000X	Marriage & Family Therapist	35002161A	IN
2	106H00000X	Marriage & Family Therapist	LMFT-15825	AZ
3	106H00000X	Marriage & Family Therapist	93602	CA

General Provider Information

NPI Number	:	1427494459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM SMITH LEIGHTON MFT

Provider Business Mailing Address
First Line	:	1700 E RIVER RD # 64862
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5881
Country	:	US
Telephone Number	:	707-888-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 E RIVER RD # 64862
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5881
Country	:	US
Telephone Number	:	707-888-1900
Fax Number	:

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

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	03/27/2024

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