Provider Demographics
NPI:1013011725
Name:KNUCK-BIAZO, ERIKA (MC,NCC,LPC)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:KNUCK-BIAZO
Suffix:
Gender:F
Credentials:MC,NCC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8522 N SUNNY ROCK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-1446
Mailing Address - Country:US
Mailing Address - Phone:520-954-6675
Mailing Address - Fax:
Practice Address - Street 1:2550 E FORT LOWELL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1514
Practice Address - Country:US
Practice Address - Phone:520-954-6675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11605101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor