Individual
JAMI ELIZABETH JAIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., LISAC
Contact information
Practice address
2150 S COUNTRY CLUB DR, SUITE 41, MESA, AZ 85210-6809
(480) 497-4042
Mailing address
2150 S COUNTRY CLUB DR, SUITE 41, MESA, AZ 85210-6809
(480) 497-4042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11754
AZ
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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