Individual
JAN LAMOREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC, LISAC
Contact information
Practice address
3303 E BASELINE RD, STE 109, BLDG 5, GILBERT, AZ 85234
(480) 534-6476
Mailing address
3303 E BASELINE RD, STE 109, BLDG 5, GILBERT, AZ 85234
(480) 534-6476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-1372
AZ
101YP2500X
Professional Counselor
Primary
LPC-20265
AZ
Other
Enumeration date
03/05/2008
Last updated
11/15/2021
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