Provider Demographics
NPI:1275804395
Name:ZUPANC, HELENE (LPC)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:ZUPANC
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HELENE
Other - Middle Name:
Other - Last Name:ILIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15915 N ROCK VALLEY PLZ
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-1810
Mailing Address - Country:US
Mailing Address - Phone:602-538-8734
Mailing Address - Fax:
Practice Address - Street 1:8902 E VIA LINDA
Practice Address - Street 2:#110-163
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5416
Practice Address - Country:US
Practice Address - Phone:303-946-5003
Practice Address - Fax:303-557-6240
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ929193Medicaid