Individual
GEORGE J JOUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
4545 E SHEA BLVD, SUITE 112, PHOENIX, AZ 85028-3074
(602) 392-2012
(602) 494-1728
Mailing address
4545 E SHEA BLVD, SUITE 112, PHOENIX, AZ 85028-3074
(602) 392-2012
(602) 494-1728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-0514
AZ
103TC0700X
Clinical Psychologist
6301007556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-0514
AZ LICENSE PRO COUNSELOR
AZ
Enumeration date
09/02/2005
Last updated
10/13/2020
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