Individual
MR. JASON HEATON GRYGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7055 W BELL RD, GLENDALE, AZ 85308-8544
(623) 878-2037
Mailing address
18501 W ONYX CT, WADDELL, AZ 85355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12556
AZ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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