Individual
JAIME A TARANGO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
8590 E SHEA BLVD STE 130, SCOTTSDALE, AZ 85260-6682
(602) 540-0441
Mailing address
11105 N 115TH ST APT 2065, SCOTTSDALE, AZ 85259-4027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-08053T
AZ
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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