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Individual

JEFFREY GISHKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.C.

Contact information

Practice address
9445 S 50TH ST, PHOENIX, AZ 85044-5629
(602) 708-4719
Mailing address
2747 S KIHEI RD APT A201, KIHEI, HI 96753-7235
(808) 419-0446

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC0181
AZ
101YP2500X
Professional Counselor
Primary
LPC0079
AZ

Other

Enumeration date
12/11/2008
Last updated
05/19/2025
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