Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jean Collins-Stuckert, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164727160

Jean Collins-Stuckert, LISAC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011

Practice location Address checks out

4545 N 36th St Ste 121
Phoenix, AZ 85018-3473
Phone: (602) 402-3676
Fax: (602) 381-3676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 10022 (AZ)

Record details

NPI number1164727160
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISAC
Sole proprietorYes
NPI enumeratedJanuary 21, 2011
Last updated in NPPESJanuary 21, 2011

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