Organization
MANZANITA MIND INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE JACQUART PHD (MEMBER)
(510) 230-1065
Entity
Organization
Contact information
Practice address
3075 N SWAN RD STE 206, TUCSON, AZ 85712-1259
(520) 230-1065
Mailing address
3075 N SWAN RD STE 206, TUCSON, AZ 85712-1259
(520) 230-1065
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us