person
Jack Wang
Peer Specialist in Casa Grande, Arizona
NPI 1467817825

Jack Wang is a Peer Specialist based in Casa Grande, AZ. Jack Wang practices in Casa Grande, AZ. The NPI Number for Jack Wang is 1467817825 and holds a License No. (Arizona).

The current practice location address for Jack Wang is 1821 N Trekell Rd, Casa Grande, AZ and can be reached out via phone at 520-876-9293 and via fax at 520-876-9334. You can also correspond with Jack Wang through the mailing address at 1821 N TREKELL RD STE 7, CASA GRANDE, AZ - 85122-1705 (mailing address contact number: 520-876-9293).

Location: 1821 N Trekell Rd, Casa Grande, AZ, 85122-1705
person
Provider Profile Details
NPI Number
1467817825
Provider Name
Jack Wang
Credential
Provider Entity Type
Individual
Gender
Male
Address
1821 N Trekell Rd, Casa Grande, AZ, 85122-1705
Phone Number
520-876-9293
Fax Number
520-876-9334
Provider Enumeration Date
12/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1821 N Trekell Rd
City
State
Zip
85122-1705
Phone Number
520-876-9293
Fax Number
520-876-9334
person
Provider Business Mailing Address Details
Address
1821 N Trekell Rd
City
State
Zip
85122-1705
Phone Number
520-876-9293
Fax Number
520-876-9334
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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