Provider Demographics
NPI:1548693419
Name:BEHN, JODI (MS, LMFT)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:BEHN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7445 N ORACLE RD STE 155
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6367
Mailing Address - Country:US
Mailing Address - Phone:520-791-9974
Mailing Address - Fax:520-791-0676
Practice Address - Street 1:7445 N ORACLE RD STE 155
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6367
Practice Address - Country:US
Practice Address - Phone:520-791-9974
Practice Address - Fax:520-791-0676
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51624106H00000X
AZLMFT-15213106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist