Individual
AISHA A JAKACHIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CSAC
Contact information
Practice address
PO BOX 36295, TUCSON, AZ 85740-6295
(414) 688-4806
Mailing address
PO BOX 36295, TUCSON, AZ 85740-6295
(414) 688-4806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15665-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15690-131
WI
101YP2500X
Professional Counselor
Primary
16412
AZ
101YP2500X
Professional Counselor
5578-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42021500
—
WI
Enumeration date
06/23/2011
Last updated
11/15/2017
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