MS. JACQUELINE NICOLE VIDAL MA, LAC
NPI 1144066929
Counselor - Professional in Tucson, AZ

Active since July 02, 2024
3131 E 2ND ST, TUCSON, AZ 85716(520) 477-8697 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About JACQUELINE VIDAL

This page provides the complete NPI Profile along with additional information for Jacqueline Vidal, a provider established in Tucson, Arizona with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1144066929 assigned on July 2024. The practitioner's primary taxonomy code is 101YP2500X with license number 22933 (AZ). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1144066929 Verify this NPI
Provider Name
MS. JACQUELINE NICOLE VIDAL MA, LAC
Gender
Female
Entity Type
Individual
Location Address
3131 E 2ND ST TUCSON, AZ 85716
Location Phone
(520) 477-8697
Mailing Address
3131 E 2ND ST TUCSON, AZ 85716
Mailing Phone
(520) 477-8697
Is Sole Proprietor?
No
Enumeration Date
07-02-2024
Last Update Date
07-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
22933
License State
AZ

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
3131 E 2ND ST
TUCSON, AZ 85716
Counselor (Professional)
3131 E 2ND ST
TUCSON, AZ 85716
Counselor
3131 E 2ND ST
TUCSON, AZ 85716
Counselor (Mental Health)
3131 E 2ND ST
TUCSON, AZ 85716

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144066929, enumerated as an "individual" on July 02, 2024.

The provider is located at 3131 E 2ND ST TUCSON, AZ 85716 and the phone number is (520) 477-8697.

Counselor with taxonomy code 101YP2500X and a focus in Professional.