Individual provider · Type 1 NPI

Jason S. Willyerd, LAC

Professional Counselor · Mesa, AZ

NPI number 1710201199 Active

Practice location

2500 S Power Rd Ste 120
Mesa, AZ 85209-6688

Mailing address

441 W 20th Ave Apt 3
Apache Junction, AZ 85120-7631

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-19378 (AZ)

Professional Counselor: Definition to come...

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About NPI 1710201199

Jason S. Willyerd, LAC's National Provider Identifier is 1710201199, issued on Mar 15, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mesa, AZ. The record was last updated on Apr 17, 2025.