MEDICARE: ALICIA GARNER 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	LPC-24633	AZ

General Provider Information

NPI Number	:	1588345474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA GARNER LPC

Provider Business Mailing Address
First Line	:	1705 N SAN FRANCISCO ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-1348
Country	:	US
Telephone Number	:	828-335-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 N SAN FRANCISCO ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-1348
Country	:	US
Telephone Number	:	828-335-5322
Fax Number	:

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

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	03/27/2026

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