Individual
JASON INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LAC, NCC
Contact information
Practice address
20325 N 51ST AVE STE 168, GLENDALE, AZ 85308-4624
(844) 385-3747
Mailing address
3700 N CATHERINE DR, PRESCOTT VALLEY, AZ 86314-8338
(928) 460-3007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22992
AZ
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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