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NPI Code Detail

MEDICARE: ZACONA MICHAUX LAC

MEDICARE: ZACONA MICHAUX 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
1101YM0800XMental Health CounselorLAC-23933AZ

General Provider Information

NPI Number : 1467385088
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACONA MICHAUX LAC
Provider Business Mailing Address
First Line : 3101 N CENTRAL AVE STE 550
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2635
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-682-7455
Provider Business Practice Location Address
First Line : 506 E WESTERN AVE STE 104
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-2422
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-682-7455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

Similar Medicare Providers

1821921354 — MR. DANIEL WILLIAMS LAC
Practice Location Address:
506 E WESTERN AVE STE 104
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Practice Phone: 602-230-7373
Practice Fax: 623-230-3086
1235174731 — DR. KRISTA DEANN PELLICORE M.D.
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1851764161 — MRS. ERIKA OQUENDO PMHNP
Practice Location Address:
506 E WESTERN AVE STE 104
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Practice Fax: 480-629-8577
1659866986 — CLAUDIA ARBALLO FNP
Practice Location Address:
506 E WESTERN AVE STE 104
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85323-2422
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Practice Fax: 602-230-3086
1922621564 — MRS. LUCILA ACEVES LPC
Practice Location Address:
506 E WESTERN AVE STE 104
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85323-2422
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1881204014 — JESSICA MCCALLUM MA, LAC, NCC
Practice Location Address:
506 E WESTERN AVE STE 104
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Practice Fax: 480-629-8577

Directions to “ ZACONA MICHAUX LAC” Practice Location

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