Provider Demographics
NPI:1881040715
Name:ARANDA, JESUS (BS,BA)
Entity Type:Individual
Prefix:MR
First Name:JESUS
Middle Name:
Last Name:ARANDA
Suffix:
Gender:M
Credentials:BS,BA
Other - Prefix:MR
Other - First Name:JESUS
Other - Middle Name:
Other - Last Name:ARANDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS,BA
Mailing Address - Street 1:2001 W ORANGE GROVE RD STE 612
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1141
Mailing Address - Country:US
Mailing Address - Phone:520-229-6220
Mailing Address - Fax:520-544-3033
Practice Address - Street 1:2001 W ORANGE GROVE RD STE 612
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1141
Practice Address - Country:US
Practice Address - Phone:520-229-6220
Practice Address - Fax:520-544-3033
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health