Individual provider · Type 1 NPI

Jeffrey S. Jirak, LPC, LISAC

Mental Health Counselor · Glendale, AZ

NPI number 1063565455 Active

Practice location

11851 N 51st Ave Ste B110
Glendale, AZ 85304-2823

Call (480) 882-4545 Map

Fax (623) 773-2267

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC-10590 (AZ)
Mental Health Counselor Primary 101YM0800XLPC-2320 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1063565455

Jeffrey S. Jirak, LPC, LISAC's National Provider Identifier is 1063565455, issued on Jan 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, AZ. The record was last updated on May 11, 2023.