Provider Demographics
NPI:1386259778
Name:JELI, YOLANDA (MSW)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:JELI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5811 N RIVER ROCK LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8237
Mailing Address - Country:US
Mailing Address - Phone:505-716-3696
Mailing Address - Fax:
Practice Address - Street 1:1701 W SAINT MARYS RD STE 117
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2621
Practice Address - Country:US
Practice Address - Phone:602-468-2077
Practice Address - Fax:480-609-9552
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical