LORENE JA'QUEZ LISAC NPI 1295369684

NPI Information

NPI: 1295369684
Provider Name: LORENE JA'QUEZ, LISAC
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Individual
Address: 4825 N SABINO CANYON RD
TUCSON, AZ
ZIP 85750
Phone: (520) 495-6206

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NPI Details

Lorene Ja'quez, LISAC is an addiction (substance use disorder) counselor in Tucson, AZ. Lorene Ja'quez, LISAC NPI is 1295369684. 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:

4825 N SABINO CANYON RD
TUCSON, AZ
ZIP 85750-427
Phone: (520) 495-6206
Fax: (520) 884-0383

The enumeration date for this NPI number is 2/25/2020 and was last updated on 2/25/2020.

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)	LISAC-10072	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LISAC-10072	OTHER	ARIZONA	AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS LICENSE LISAC

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: 11/21/2025

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