person
Mrs. Jacqueline R. John, MSW
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1053564757

Jacqueline R. John is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Jacqueline R. John practices in Phoenix, AZ and has the professional credentials of MSW. The NPI Number for Jacqueline R. John is 1053564757 and holds a License No. (Arizona).

The current practice location address for Jacqueline R. John is 4520 N Central Ave Ste 600, Phoenix, AZ and can be reached out via phone at 602-254-3247 and via fax at 602-424-1623.

Location: 4520 N Central Ave Ste 600, Phoenix, AZ, 85012-1831
person
Provider Profile Details
NPI Number
1053564757
Provider Name
Jacqueline R. John
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
4520 N Central Ave Ste 600, Phoenix, AZ, 85012-1831
Phone Number
602-254-3247
Fax Number
602-424-1623
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600467306 01 AZ MAGELLAN
institution
Provider Business Practice Location Address Details
Address
4520 N Central Ave Ste 600
City
State
Zip
85012-1848
Phone Number
602-254-3247
Fax Number
602-424-1623
person
Provider Business Mailing Address Details
Address
4520 N Central Ave Ste 600
City
State
Zip
85012-1848
Phone Number
602-254-3247
Fax Number
602-424-1623
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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