Individual provider · Type 1 NPI

Jan Harold Scouten, MDIV

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1629379938 Active

Practice location

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

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISCAC-1653 (AZ)

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

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About NPI 1629379938

Jan Harold Scouten, MDIV's National Provider Identifier is 1629379938, issued on Nov 3, 2010. 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 Nov 3, 2010.