Provider Demographics
NPI:1770543589
Name:ARONSON, JEFFREY ALTON (LPC)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:ALTON
Last Name:ARONSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 E PIMA
Mailing Address - Street 2:STE 115
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712
Mailing Address - Country:US
Mailing Address - Phone:520-325-2035
Mailing Address - Fax:520-795-3575
Practice Address - Street 1:5210 E PIMA
Practice Address - Street 2:STE 115
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-325-2035
Practice Address - Fax:520-795-3575
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC1655103T00000X
LPC1655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist