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MR. GERALD THOMAS SZYMANSKI M.A., LPC, LISAC

Addiction Substance Use Disorder

Parker, Arizona

Provider NPI: 1013959139

Provider Information:
MR. GERALD THOMAS SZYMANSKI M.A., LPC, LISAC
Gender: M
Sole Proprietor


Practice Location:
1017 S LAGUNA AVE  PARKER, AZ 85344 US
Tel: 928-669-6906  Fax: 928-669-6909

Business Mailing Address:
1017 S LAGUNA AVE  PARKER, AZ 85344 US
Tel: 928-669-6906  Fax: 928-669-6909

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
AZLPC-10595
N101YA0400XBehavioral Health & Social Service Providers
Counselor
AZLISAC-10674
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
AZLPC-11595
N101YP2500XBehavioral Health & Social Service Providers
Counselor
AZLPC-11595

Other Provider Identifiers:

IssuerNumberStateType
AHCCCS #872748AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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