Individual provider · Type 1 NPI
Pat Medford, M.A./L.P.C.
Professional Counselor · Wittmann, AZ
NPI number
1780013797
Active
Practice location
21139 W Caravaggio Ln
Wittmann, AZ 85361-8685
Mailing address
15270 W Brookside Ln
Surprise, AZ 85374-2450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-10557 (AZ) |
Professional Counselor: Definition to come...
About NPI 1780013797
Pat Medford, M.A./L.P.C.'s National Provider Identifier is 1780013797, issued on Nov 11, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wittmann, AZ. The record was last updated on Nov 11, 2013.