Individual
JAY LANCE LARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LAC NCC
Contact information
Practice address
6811 E MAIN ST APT 3021, SCOTTSDALE, AZ 85251-4379
(480) 500-7306
Mailing address
6811 E MAIN ST APT 3021, SCOTTSDALE, AZ 85251-4379
(480) 500-7306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16394
AZ
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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