JACK E. HOLLIS
NPI 1376631259
Counselor - Addiction (Substance Use Disorder) in Tucson, AZ

Active since October 10, 2006
4901 E 5TH ST, TUCSON, AZ 85711(520) 327-4505(520) 202-1889 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack E. Hollis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK E. HOLLIS (NPI 1376631259) is an individual addiction (substance use disorder) provider in Tucson, Arizona, licensed in Arizona (LMSW-11007) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376631259
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK E. HOLLIS
Location Address4901 E 5TH STTucson, AZ 85711-2203
Mailing Address127 S 5th AveTucson, AZ 85701-2005 · (520) 327-4505 · Fax (520) 202-1889
Fax(520) 202-1889
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376631259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in AZ · LMSW-11007
4901 E 5TH ST, Tucson, AZ 85711

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
4901 E 5TH ST
TUCSON, AZ 85711
Registered Nurse
4901 E 5TH ST
TUCSON, AZ 85711
Registered Nurse (Psychiatric/Mental Health, Adult)
4901 E 5TH ST
TUCSON, AZ 85711
Registered Nurse (Psychiatric/Mental Health, Adult)
4901 E 5TH ST
TUCSON, AZ 85711
Social Worker (Clinical)
4901 E 5TH ST
TUCSON, AZ 85711
Clinic/Center (Adult Mental Health)
4901 E 5TH ST
TUCSON, AZ 85711
Nurse Practitioner (Psychiatric/Mental Health)
4901 E 5TH ST, CODAC
TUCSON, AZ 85711
Counselor (Addiction (Substance Use Disorder))
4901 E 5TH ST
TUCSON, AZ 85711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hollis's NPI number?

The NPI number for Jack Hollis is 1376631259. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Jack Hollis located?

Jack Hollis practices at 4901 E 5th St, Tucson, AZ 85711. The listed phone number is (520) 327-4505.

What is Jack Hollis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Hollis was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.