Individual
BRIAN JAUREGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
13460 N 94TH DR STE M1, PEORIA, AZ 85381-4247
(623) 974-3333
Mailing address
PO BOX 594, CASHION, AZ 85329-0594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16780
AZ
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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