Individual
GARETH MOORE SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8050 E LAKESIDE PKWY, TUCSON, AZ 85730-1254
(520) 548-5820
(520) 514-1514
Mailing address
1477 W COMMERCE CT, TUCSON, AZ 85746-6016
(520) 792-3293
(520) 792-4336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-18551
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-18551
AZBBHE
AZ
Enumeration date
01/15/2020
Last updated
01/15/2020
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