Individual
JASON KLARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2320 W PEORIA AVE STE A101, PHOENIX, AZ 85029-4721
(602) 600-1871
Mailing address
6534 W PIUTE AVE, GLENDALE, AZ 85308-7060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-17384
AZ
Other
Enumeration date
08/16/2018
Last updated
12/29/2020
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