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Individual

JASON FIERSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
690 N COFCO CENTER CT, PHOENIX, AZ 85008-6462
(602) 323-8200
(602) 286-0808
Mailing address
2702 N 3RD ST, PHOENIX, AZ 85004-4608
(602) 323-3407
(602) 323-3496

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-11914
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
922717
AZ
Enumeration date
03/23/2006
Last updated
07/09/2007
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