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Jared Lynn Kummer
Professional Counselor in Page, Arizona
NPI 1033447412

Jared Lynn Kummer is a Professional Counselor based in Big Water, AZ and is specialized in Professional. Jared Lynn Kummer practices in Page, AZ. The NPI Number for Jared Lynn Kummer is 1033447412 and holds a License No. LMSW-12878 (Arizona).

The current practice location address for Jared Lynn Kummer is 463 S. Lake Powell Blvd, Page, AZ and can be reached out via phone at 928-645-5113.

Location: 463 S. Lake Powell Blvd, Page, AZ, 84741-2194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033447412
Provider Name
Jared Lynn Kummer
Credential
Provider Entity Type
Individual
Gender
Male
Address
463 S. Lake Powell Blvd, Page, AZ, 84741-2194
Phone Number
928-645-5113
Fax Number
Provider Enumeration Date
11/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
463 S. Lake Powell Blvd
City
Page
State
Arizona
Zip
86040-0790
Phone Number
928-645-5113
Fax Number
person
Provider Business Mailing Address Details
Address
463 S. Lake Powell Blvd
City
Page
State
Arizona
Zip
86040-0790
Phone Number
928-645-5113
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LMSW-12878 (Arizona)
Definition
Definition to come...
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