JEAN COLLINS-STUCKERT LISAC NPI 1164727160

NPI Information

NPI: 1164727160
Provider Name: JEAN COLLINS-STUCKERT, LISAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4545 N 36TH ST STE 121
PHOENIX, AZ
ZIP 85018
Phone: (602) 402-3676
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Jean Collins-stuckert, LISAC is an addiction (substance use disorder) counselor in Phoenix, AZ. Jean Collins-stuckert, LISAC NPI is 1164727160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4545 N 36TH ST STE 121
PHOENIX, AZ
ZIP 85018-473
Phone: (602) 402-3676
Fax: (602) 381-3676

The enumeration date for this NPI number is 1/21/2011 and was last updated on 1/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	10022	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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