Provider Demographics
NPI:1609218239
Name:GAMEZ, ALISON ANN (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:ANN
Last Name:GAMEZ
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 W OLIVE AVE
Mailing Address - Street 2:#200
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-3843
Mailing Address - Country:US
Mailing Address - Phone:623-937-9203
Mailing Address - Fax:623-930-0358
Practice Address - Street 1:4425 W OLIVE AVE
Practice Address - Street 2:#200
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-3843
Practice Address - Country:US
Practice Address - Phone:623-937-9203
Practice Address - Fax:623-930-0358
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-13402101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional