Doctor Name: | MEGAN E ADDIS |
NPI Number: | 1487916714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., LAC, NCC |
License Number: | 13220 |
Business Practice Address: | 4301 E 5th St Tucson, AZ - 857112005 |
Business Phone Number: | 5207950300 |
Business Fax Number: | 5207958206 |
Mailing Address: | 4301 E 5th St, TUCSON |
State: | AZ |
Postal Code: | 857112005 |
Phone Number: | 5207950300 |
Fax Number: | 5207958206 |
NPI Enumeration Date: | 06/12/2012 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 13220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |