Individual
JASON S WILLYERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2500 S POWER RD STE 120, MESA, AZ 85209-6688
(480) 720-8069
Mailing address
441 W 20TH AVE APT 3, APACHE JUNCTION, AZ 85120-7631
(480) 720-8069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19378
AZ
Other
Enumeration date
03/15/2010
Last updated
04/17/2025
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