Individual
MR. GERALD THOMAS SZYMANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC, LISAC
Contact information
Practice address
1017 S LAGUNA AVE, PARKER, AZ 85344-4945
(928) 669-6906
(928) 669-6909
Mailing address
1017 S LAGUNA AVE, PARKER, AZ 85344-4945
(928) 669-6906
(928) 669-6909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-10595
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10674
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-11595
AZ
101YP2500X
Professional Counselor
LPC-11595
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872748
AHCCCS #
AZ
Enumeration date
06/12/2006
Last updated
05/29/2008
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