Ja'Quez, Lorene

Ja'Quez, Lorene is an individual health care provider with primary practice located at 4825 N Sabino Canyon Rd , Tucson AZ 85750-6427. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ja'Quez, Lorene can be contacted via phone (520) 495-6206.

Contact Information

Primary practice address
4825 N Sabino Canyon Rd Tucson AZ 85750-6427
Phone: (520) 495-6206
Fax: (520) 884-0383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10072 Arizona

Profile Details

NPI number 1295369684
LBN Legal business name Ja'Quez, Lorene
Credentials LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Feb 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295369684 NPPES
Arizona Other LISAC-10072 AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS LICENSE LISAC

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