Provider Demographics
NPI:1700094844
Name:STEVENSON-ARZANI, JEAN L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:L
Last Name:STEVENSON-ARZANI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:STEVENSON ARZANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2494 SO PERILLO DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710
Mailing Address - Country:US
Mailing Address - Phone:520-290-1331
Mailing Address - Fax:520-731-5301
Practice Address - Street 1:1010 E 10TH ST
Practice Address - Street 2:TUCSON UNIFIED SCHOOLS - EXCEPTIONAL EDUCATION
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-5813
Practice Address - Country:US
Practice Address - Phone:520-731-5300
Practice Address - Fax:520-731-5301
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW22121041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool