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Individual

DR. ALLEN JETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DD,MAC,CDDC

Contact information

Practice address
2942 N 24TH ST, 114-766, PHOENIX, AZ 85016-7844
(480) 521-4815
(602) 424-5757
Mailing address
2942 N 24TH ST, 114-766, PHOENIX, AZ 85016-7844
(480) 521-4815
(623) 242-7910

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86520
PA
101YM0800X
Mental Health Counselor
PA
101YP1600X
Pastoral Counselor
PA

Other

Enumeration date
10/10/2014
Last updated
11/28/2025
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