Individual
JONATHAN S STATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1022 W INA RD # 103, TUCSON, AZ 85704-3109
(520) 447-7440
(520) 306-4861
Mailing address
PO BOX 89784, TUCSON, AZ 85752-9784
(520) 447-7440
(520) 306-4861
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-10409
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
869846
—
AZ
Enumeration date
06/04/2010
Last updated
04/21/2016
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