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NPI Code Detail

MEDICARE: SUSAN LOVE LPC

MEDICARE: SUSAN LOVE 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
1101YM0800XMental Health CounselorLAC-17716AZ
2101YM0800XMental Health CounselorAZ

General Provider Information

NPI Number : 1548727282
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN LOVE LPC
Provider Business Mailing Address
First Line : 2806 N ALVERNON WAY STE 500
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1567
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2806 N ALVERNON WAY STE 500
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1567
Country : US
Telephone Number : 520-261-2328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2019
Last Update Date : 06/03/2021

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Directions to “ SUSAN LOVE LPC” Practice Location

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