Individual
JERRY D SLATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2120 S MCCLINTOCK DR, STE. 105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
1400 E SOUTHERN AVE, STE. 735, TEMPE, AZ 85282-5691
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-12153
AZ
Other
Enumeration date
12/11/2007
Last updated
04/23/2017
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