Individual
CHARLES MATTHEW JASON HARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3707 E SOUTHERN AVE, MESA, AZ 85206-2569
(623) 738-6737
Mailing address
PO BOX 653, WADDELL, AZ 85355-0653
(623) 738-6737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-23000
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/15/2019
Last updated
06/02/2024
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