Individual
FRANK Q. JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LISAC
Contact information
Practice address
730 E HIGHLAND AVE, PHOENIX, AZ 85014-3625
(602) 241-6656
(602) 264-4520
Mailing address
730 E HIGHLAND AVE, PHOENIX, AZ 85014-3625
(602) 241-6656
(602) 264-4520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0048
AZ
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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