Individual
ANDRES NICHOLAS JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4131 N 24TH ST STE B102, PHOENIX, AZ 85016-6231
(480) 882-4545
(602) 381-1341
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LPC-17933
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506403
—
AZ
Enumeration date
01/30/2012
Last updated
01/27/2023
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