Provider Demographics
NPI:1659842581
Name:COHEN, FELICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 N CAMPO ABIERTO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3457
Mailing Address - Country:US
Mailing Address - Phone:520-275-8477
Mailing Address - Fax:520-844-1033
Practice Address - Street 1:1601 N TUCSON BLVD STE 38
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3410
Practice Address - Country:US
Practice Address - Phone:520-275-8477
Practice Address - Fax:520-844-1033
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-103531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical