Individual
JEFFREY JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
465 S MAIN ST, FREDONIA, AZ 86022-0200
(702) 701-3806
Mailing address
PO BOX 1987, PAGE, AZ 86040-1987
(702) 701-3806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1078813-3501
UT
1041C0700X
Clinical Social Worker
Primary
19575
AZ
Other
Enumeration date
12/29/2010
Last updated
01/03/2025
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