Basic Information
Provider Information
NPI: 1316440241
EntityType: 2
ReplacementNPI:  
OrganizationName: ROB ZONFRELLI COUNSELING LLC
LastName:  
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Mailing Information
Address1: 10501 E SEVEN GENERATIONS WAY STE 121
Address2:  
City: TUCSON
State: AZ
PostalCode: 857475828
CountryCode: US
TelephoneNumber: 5203334320
FaxNumber:  
Practice Location
Address1: 10501 E SEVEN GENERATIONS WAY STE 121
Address2:  
City: TUCSON
State: AZ
PostalCode: 857475828
CountryCode: US
TelephoneNumber: 5203334320
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/16/2018
LastUpdateDate: 03/16/2018
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: PETERSON
AuthorizedOfficialFirstName: NICOLE
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AuthorizedOfficialTitleorPosition: BILLING COORDINATOR
AuthorizedOfficialTelephone: 5204414754
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MA
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000XLCSW15769AZY AgenciesCommunity/Behavioral Health 

No ID Information.


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