MEDICARE: MR. JEFFREY ALTON ARONSON 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	103T00000X	Psychologist	LPC1655	AZ
2	101YP2500X	Professional Counselor	LPC1655

General Provider Information

NPI Number	:	1770543589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY ALTON ARONSON LPC

Provider Business Mailing Address
First Line	:	5210 E PIMA
Second Line	:	STE 115
City	:	TUCSON
State	:	AZ
Zip	:	85712
Country	:	US
Telephone Number	:	520-325-2035
Fax Number	:	520-795-3575

Provider Business Practice Location Address
First Line	:	5210 E PIMA
Second Line	:	STE 115
City	:	TUCSON
State	:	AZ
Zip	:	85712
Country	:	US
Telephone Number	:	520-325-2035
Fax Number	:	520-795-3575

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	02/17/2020

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