Individual provider · Type 1 NPI
Maxwell V. Jaskolski, LAC.
Mental Health Counselor · Chandler, AZ
NPI number
1033859608
Active
Practice location
3150 N. Arizona Ave Suite 114
Chandler, AZ 85225
Fax (480) 685-8778
Mailing address
3150 N. Arizona Ave. Suite 114
Chandler, AZ 85225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC-20379 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1033859608
Maxwell V. Jaskolski, LAC.'s National Provider Identifier is 1033859608, issued on Mar 31, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chandler, AZ. The record was last updated on Mar 31, 2022.