Healthcare Provider Details

I. General information

NPI: 1851238406
Provider Name (Legal Business Name): JONATHAN ZUCCHI MA, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5524 E 4TH ST
TUCSON AZ
85711-1445
US

IV. Provider business mailing address

3636 W IRONWOOD HILL DR
TUCSON AZ
85745-9619
US

V. Phone/Fax

Practice location:
  • Phone: 520-971-3805
  • Fax:
Mailing address:
  • Phone: 520-971-3805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLAC-23874
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: