Leo Daniel Jeffero Jr., MC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-15165 Issued in AZ

Practice address

6420 E Broadway Blvd, Ste B200
Tucson, AZ 85710-3514

Phone

(520) 576-6695

Fax

(520) 795-4981

NPI assigned

Mar 28, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1578852745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 E BROADWAY BLVD, STE B200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103514",
            "telephone_number": "520-576-6695",
            "fax_number": "520-795-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 E BROADWAY BLVD, STE B200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103514",
            "telephone_number": "520-576-6695",
            "fax_number": "520-795-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERO",
        "first_name": "LEO",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "MC, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "AZ",
            "license": "LMFT-15165",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-15165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Todd Jeck, MD
• Tracy A Jeck, M.D.
• Mahdieh Fazel Jedlowski, MD
• Patrick Michael Jedlowski, MD
• Jeff D Wiese LCSW PLLC
• Eric Keith Jeffers, ED.S.
• Kristy Jefferson, LPN
• Jeffrey B Loomer, MD, PC
• Jeffrey C. Derickson, D.D.S. PLLC
• Jeffrey H Dubois DDS PC

• Marriage & Family Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.