Individual
MRS. PALLAVI S GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12450 N RANCHO VISTOSO BLVD STE 100, ORO VALLEY, AZ 85755-9567
(520) 661-4302
Mailing address
12450 N RANCHO VISTOSO BLVD STE 100, ORO VALLEY, AZ 85755-9567
(520) 661-4302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC10682
AZ
101YM0800X
Mental Health Counselor
Primary
LPC11968
AZ
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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