Individual
JONATHAN KANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 E FORT LOWELL RD, SUITE 202, TUCSON, AZ 85719-2374
(520) 327-4505
(520) 202-1889
Mailing address
1650 E FORT LOWELL RD, SUITE 202, TUCSON, AZ 85719-2374
(520) 327-4505
(520) 202-1889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LISW - 11753
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004718
—
AZ
Enumeration date
06/27/2006
Last updated
06/06/2011
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