MEDICARE: DR. JESSICA DORLAND MS MED LPC DBH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC-14423	AZ

General Provider Information

NPI Number	:	1063842375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA DORLAND MS MED LPC DBH

Provider Business Mailing Address
First Line	:	3900 E TIMROD ST # 7
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-4170
Country	:	US
Telephone Number	:	520-302-4116
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 E TIMROD ST # 7
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-4170
Country	:	US
Telephone Number	:	520-302-4116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2013
Last Update Date	:	05/06/2026

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