Individual provider · Type 1 NPI

Gwendolyn Austin, LAC

Mental Health Counselor · Tucson, AZ

NPI number 1760040018 Active

Practice location

2030 E Broadway Blvd
Tucson, AZ 85719-5905

Mailing address

102 Hardley St
Fort Huachuca, AZ 85613-1135

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-16867 (AZ)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1760040018

Gwendolyn Austin, LAC's National Provider Identifier is 1760040018, issued on Jun 2, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucson, AZ. The record was last updated on Jun 2, 2019.