Individual
MR. JON T WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MC
Contact information
Practice address
8124 E CACTUS RD STE 410, SCOTTSDALE, AZ 85260-5262
(602) 494-1515
Mailing address
8124 E CACTUS RD STE 410, SCOTTSDALE, AZ 85260-5262
(602) 494-1515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-0194
AZ
Other
Enumeration date
03/30/2007
Last updated
09/22/2016
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