Individual provider · Type 1 NPI
Jeremy Shoemaker, LAC
Professional Counselor · Glendale, AZ
NPI number
1457994014
Active
Practice location
5546 W Desert Cove Ave
Glendale, AZ 85304-3841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LAC-17240 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1457994014
Jeremy Shoemaker, LAC's National Provider Identifier is 1457994014, issued on Oct 25, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glendale, AZ. The record was last updated on Oct 25, 2019.