Colette Reon Hardesty-Tesar | Tucson, AZ • PECOS Search

Colette Reon Hardesty-Tesar

Social Worker

Behavioral Health & Social Service Providers

3565 E Marshall Gulch Pl, Tucson, AZ 85718-2210

PECOS Enrollment

Based on the most recent information from CMS, provider Colette Reon Hardesty-Tesar does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1083339451
Provider Type
Individual
Full Name
Hardesty-Tesar, Colette Reon
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/7/2022
Last Updated
10/7/2022

Contact Information

Practice Location

3565 E Marshall Gulch Pl, Tucson, AZ 85718-2210

Unlisted Fax

Mailing Location

3565 E Marshall Gulch Pl, Tucson, AZ 85718-2210

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW-2476 Arizona