Individual
ERICA MEADOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
125 E MABEL ST, TUCSON, AZ 85705-6654
(520) 873-8633
Mailing address
125 E MABEL ST, TUCSON, AZ 85705-6654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19279
AZ
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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