Provider Demographics
NPI:1477853042
Name:LOVALLO, ADAM K (LPC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:K
Last Name:LOVALLO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:ANGELO
Other - Middle Name:
Other - Last Name:LOVALLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58926 E BRANDING IRON CT
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-6008
Mailing Address - Country:US
Mailing Address - Phone:520-615-9571
Mailing Address - Fax:877-760-0434
Practice Address - Street 1:58926 E BRANDING IRON CT
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-6008
Practice Address - Country:US
Practice Address - Phone:520-615-9571
Practice Address - Fax:877-760-0434
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11947101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional