| Affinity Counseling Center | |
|
3295 W Ina Rd Ste 125 Tucson AZ 85741-2195 | |
| (520) 257-1168 | |
| (520) 306-4861 |
| Full Name | Affinity Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 3295 W Ina Rd Ste 125, Tucson, Arizona |
| Authorized Official Name and Position | Jonathan Statt (OWNER) |
| Authorized Official Contact | 5202571168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Counseling Center Po Box 89784 Tucson AZ 85752-9784 Ph: (520) 257-1168 | Affinity Counseling Center 3295 W Ina Rd Ste 125 Tucson AZ 85741-2195 Ph: (520) 257-1168 |
| NPI Number | 1922542174 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 05/07/2018 |
| Medicare PECOS PAC ID | 4880955525 |
|---|---|
| Medicare Enrollment ID | O20180221001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922542174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tracey Ann Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932612231 PECOS PAC ID: 1254694177 Enrollment ID: I20180406000177 |
| Provider Name | Samantha Josephine Contreras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366096984 PECOS PAC ID: 8628406741 Enrollment ID: I20200323002879 |
| Provider Name | Daniel Scott Orozco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841567120 PECOS PAC ID: 9234490970 Enrollment ID: I20240111003234 |
| Provider Name | Jonathan S Statt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447570197 PECOS PAC ID: 7416218151 Enrollment ID: I20240112003333 |
| Provider Name | Barbara Joyce Dimarco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730517590 PECOS PAC ID: 6305289182 Enrollment ID: I20240208002434 |
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