Individual
MR. PETER AUGUSTUS BIAVA IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MC LPC
Contact information
Practice address
4270 N RILLITO CREEK PL, TUCSON, AZ 85719-1162
(520) 320-1984
Mailing address
4270 N RILLITO CREEK PL, TUCSON, AZ 85719-1162
(520) 320-1984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-2201
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-2201
AZ
101YP2500X
Professional Counselor
LPC-2201
AZ
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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