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General NPI Number Information
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NPI Number | 1073655544
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Entity Type | Organization
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Legal Business Name | J&P LOISELLE LLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2292 W. MAGEE RD. SUITE 260
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City | TUCSON
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State | AZ
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Zip | 85742-4301
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Country | US
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Telephone | 520-797-9306
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Fax | 520-544-8312
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Provider Business Mailing Address
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Address Line | 2292 W MAGEE RD SUITE 260
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City | TUCSON
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State | AZ
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Zip | 85742
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Country | US
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Telephone | 520-797-9306
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Fax | 520-544-8312
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PETER LOISELLE
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Credential | LCSW LISAC
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Telephone | 520-797-9306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW0812
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW0813
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LISAC0936
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License Number State | AZ
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