MEDICARE: SARA GRAPER 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	101YP2500X	Professional Counselor	LPC-23440	AZ
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1760204069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA GRAPER LPC

Provider Business Mailing Address
First Line	:	7632 N. LACHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7632 N. LACHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741
Country	:	US
Telephone Number	:	520-276-4346
Fax Number	:

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

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	12/03/2025

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