Organization
OLD PUEBLO COUNSELING, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN GRANSIE BARWICK LCSW (ADMINISTRATOR/OWNER)
(520) 624-6797
Entity
Organization
Contact information
Practice address
380 E FORT LOWELL RD STE 120, TUCSON, AZ 85705-3981
(520) 624-6797
(520) 624-6977
Mailing address
380 E FORT LOWELL RD STE 120, TUCSON, AZ 85705-3981
(520) 624-6797
(520) 624-6977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH-3343
AZ
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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