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NPI Code Detail

MEDICARE: JO-ANN MARKS MA, LMFT

MEDICARE: JO-ANN MARKS MA, LMFT
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
1101YM0800XMental Health CounselorMFC 31519CA
2106H00000XMarriage & Family TherapistLMFT 10280AZ

General Provider Information

NPI Number : 1184862823
Entity Type Code : Individual
Provider Name (Legal Business Name) : JO-ANN MARKS MA, LMFT
Provider Business Mailing Address
First Line : 11111 E PANTANO TRL
Second Line :
City : TUCSON
State : AZ
Zip : 85730-5668
Country : US
Telephone Number : 520-722-5895
Fax Number : 520-722-9161
Provider Business Practice Location Address
First Line : 2435 N CASTRO AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85705-5060
Country : US
Telephone Number : 520-591-1504
Fax Number : 520-722-9161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2009
Last Update Date : 06/17/2010

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Directions to “ JO-ANN MARKS MA, LMFT” Practice Location

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