MEDICARE: JONATHAN ROBERT KAMPA LPC

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-24068	AZ

General Provider Information

NPI Number	:	1649162397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN ROBERT KAMPA LPC

Provider Business Mailing Address
First Line	:	7759 N SILVERBELL RD APT 1103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-8276
Country	:	US
Telephone Number	:	630-272-0824
Fax Number	:

Provider Business Practice Location Address
First Line	:	2295 W MAGEE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-4315
Country	:	US
Telephone Number	:	520-257-1168
Fax Number	:

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

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	07/17/2025

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Directions to “ JONATHAN ROBERT KAMPA LPC” Practice Location

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