Individual provider · Type 1 NPI
Audre K. Medlock, LPC
Professional Counselor · Phoenix, AZ
NPI number
1346972270
Active
Practice location
14040 N Cave Creek Rd # 108
Phoenix, AZ 85022-6117
Fax (888) 927-0409
Mailing address
23380 N 61st Dr
Glendale, AZ 85310-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-19716 (AZ) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1346972270
Audre K. Medlock, LPC's National Provider Identifier is 1346972270, issued on Jun 29, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 29, 2022.