MEDICARE: JODI BEHN MS, 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
1	106H00000X	Marriage & Family Therapist	MFC 51624	CA
2	106H00000X	Marriage & Family Therapist	LMFT-15213	AZ

General Provider Information

NPI Number	:	1548693419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI BEHN MS, LMFT

Provider Business Mailing Address
First Line	:	7445 N ORACLE RD STE 155
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-6367
Country	:	US
Telephone Number	:	520-791-9974
Fax Number	:	520-791-0676

Provider Business Practice Location Address
First Line	:	7445 N ORACLE RD STE 155
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-6367
Country	:	US
Telephone Number	:	520-791-9974
Fax Number	:	520-791-0676

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

Provider Enumeration Date	:	08/15/2013
Last Update Date	:	02/06/2024

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