Individual
JAMIE DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C., LPC
Contact information
Practice address
18205 N 51ST AVE STE 131, GLENDALE, AZ 85308-1492
(602) 499-5329
Mailing address
21436 N 78TH DR, PEORIA, AZ 85382-3337
(602) 695-8398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-12485
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-16093
AZ
Other
Enumeration date
05/18/2010
Last updated
04/02/2020
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