Individual provider · Type 1 NPI

Jack E. Hollis

Addiction (Substance Use Disorder) Counselor · Tucson, AZ

NPI number 1376631259 Active

Practice location

4901 E 5th St
Tucson, AZ 85711-2203

Fax (520) 202-1889

Mailing address

127 S 5th Ave
Tucson, AZ 85701-2005

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLMSW-11007 (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376631259

Jack E. Hollis's National Provider Identifier is 1376631259, issued on Oct 10, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tucson, AZ. The record was last updated on Jul 8, 2007.