Provider Demographics
NPI:1760153969
Name:OSERAN, HOWARD LOUIS (LPC)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:LOUIS
Last Name:OSERAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 N PASEO BOCOANCOS
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-1702
Mailing Address - Country:US
Mailing Address - Phone:520-891-8188
Mailing Address - Fax:
Practice Address - Street 1:4500 N PASEO BOCOANCOS
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-1702
Practice Address - Country:US
Practice Address - Phone:520-891-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC12453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional