Individual provider · Type 1 NPI

Xavier Lewis Jenkins, COUNSELOR

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1114531514 Active

Practice location

5062 N 19th Ave Ste 102
Phoenix, AZ 85015-3225

Mailing address

9326 W Rascon Loop
Phoenix, AZ 85037-6309

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13332 (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114531514

Xavier Lewis Jenkins, COUNSELOR's National Provider Identifier is 1114531514, issued on Sep 2, 2020. 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 Sep 2, 2020.