Jean Collins-stuckert, LISAC - Counselor in Phoenix, AZ

Jean Collins-stuckert, LISAC is a Counselor - Addiction (substance Use Disorder) based in Phoenix, Arizona. Jean Collins-stuckert is licensed to practice in Arizona (license number 10022) and her current practice location is 4545 N 36th St Ste 121, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 402-3676.

NPI number for Jean Collins-stuckert is 1164727160 and her current mailing address is 4545 N 36th St Ste 121, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164727160.

Contact Information

Jean Collins-stuckert, LISAC
4545 N 36th St Ste 121,
Phoenix, AZ 85018-3473
(602) 402-3676
(602) 381-3676

Map and Direction


Healthcare Provider's Profile

Full NameJean Collins-stuckert
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location4545 N 36th St Ste 121, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164727160
  • Provider Enumeration Date: 01/21/2011
  • Last Update Date: 01/21/2011

Medical Identifiers

Medical identifiers for Jean Collins-stuckert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164727160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 10022 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jean Collins-stuckert is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jean Collins-stuckert, LISAC
4545 N 36th St Ste 121,
Phoenix, AZ 85018-3473

Ph: (602) 402-3676
Jean Collins-stuckert, LISAC
4545 N 36th St Ste 121,
Phoenix, AZ 85018-3473

Ph: (602) 402-3676

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