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Individual

MR. MICHAEL PANICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1161/1181 N EL DORADO PL, TUCSON, AZ 85715-4607
(520) 748-7108
Mailing address
1161 N EL DORADO PL STE 203, TUCSON, AZ 85715-4607
(520) 748-7108
(520) 570-1396

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-1083
AZ
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
876656
AZ
Enumeration date
10/03/2013
Last updated
09/18/2024
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