Individual provider · Type 1 NPI

Jacqueline Jeffries, DBH, LISAC

Addiction (Substance Use Disorder) Counselor · Gilbert, AZ

NPI number 1841600319 Active

Practice location

201 W Guadalupe Rd Ste 301
Gilbert, AZ 85233-3333

Call (480) 455-0915 Map

Fax (480) 212-0924

Mailing address

3736 E Isabella Ave
Mesa, AZ 85206-3803

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-11894 (AZ)

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

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About NPI 1841600319

Jacqueline Jeffries, DBH, LISAC's National Provider Identifier is 1841600319, issued on May 5, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gilbert, AZ. The record was last updated on Sep 10, 2014.