MEDICARE: J&P LOISELLE LLC

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	1041C0700X	Clinical Social Worker	LCSW0812	AZ
2	1041C0700X	Clinical Social Worker	LCSW0813	AZ
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	LISAC0936	AZ

General Provider Information

NPI Number	:	1073655544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&P LOISELLE LLC

Provider Business Mailing Address
First Line	:	2292 W MAGEE RD
Second Line	:	SUITE 260
City	:	TUCSON
State	:	AZ
Zip	:	85742
Country	:	US
Telephone Number	:	520-797-9306
Fax Number	:	520-544-8312

Provider Business Practice Location Address
First Line	:	2292 W. MAGEE RD.
Second Line	:	SUITE 260
City	:	TUCSON
State	:	AZ
Zip	:	85742-4301
Country	:	US
Telephone Number	:	520-797-9306
Fax Number	:	520-544-8312

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PETER LOISELLE
Credential	:	LCSW LISAC
Telephone Number	:	520-797-9306

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	09/11/2025

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Directions to “J&P LOISELLE LLC ” Practice Location

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