Individual provider · Type 1 NPI
Jacqueline R. John, MSW
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1053564757
Active
Practice location
4520 N Central Ave Ste 600
Phoenix, AZ 85012-1848
Fax (602) 424-1623
Mailing address
4520 N Central Ave Ste 100
Phoenix, AZ 85012-1831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053564757
Jacqueline R. John, MSW's National Provider Identifier is 1053564757, issued on Oct 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 28, 2008.