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Lorene Ja'quez, LISAC
Addiction (Substance Use Disorder) Counselor in Tucson, Arizona
NPI 1295369684

Lorene Ja'quez is an Addiction (Substance Use Disorder) Counselor based in Tucson, AZ and is specialized in Addiction (Substance Use Disorder). Lorene Ja'quez practices in Tucson, AZ and has the professional credentials of LISAC. The NPI Number for Lorene Ja'quez is 1295369684 and holds a License No. LISAC-10072 (Arizona).

The current practice location address for Lorene Ja'quez is 4825 N Sabino Canyon Rd, Tucson, AZ and can be reached out via phone at 520-495-6206 and via fax at 520-884-0383.

Location: 4825 N Sabino Canyon Rd, Tucson, AZ, 85750-6427
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Provider Profile Details
NPI Number
1295369684
Provider Name
Lorene Ja'quez
Credential
LISAC
Provider Entity Type
Individual
Gender
Female
Address
4825 N Sabino Canyon Rd, Tucson, AZ, 85750-6427
Phone Number
520-495-6206
Fax Number
520-884-0383
Provider Enumeration Date
02/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LISAC-10072 01 AZ AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS LICENSE LISAC
institution
Provider Business Practice Location Address Details
Address
4825 N Sabino Canyon Rd
City
State
Zip
85750-6427
Phone Number
520-495-6206
Fax Number
520-884-0383
person
Provider Business Mailing Address Details
Address
4825 N Sabino Canyon Rd
City
State
Zip
85750-6427
Phone Number
520-495-6206
Fax Number
520-884-0383
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-10072 (Arizona)
Definition
Definition to come...
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