Jamie Chase is a Peer Specialist based in Mesa, AZ. Jamie Chase practices in Mesa, AZ. The NPI Number for Jamie Chase is 1912614850 and holds a License No. (Arizona).
The current practice location address for Jamie Chase is 1616 E Main St Ste 223, Mesa, AZ and can be reached out via phone at 404-512-5612.
Location: 1616 E Main St Ste 223, Mesa, AZ, 85203-9074
Provider Profile Details
NPI Number
1912614850
Provider Name
Jamie Chase
Credential
Provider Entity Type
Individual
Gender
Female
Address
1616 E Main St Ste 223, Mesa, AZ, 85203-9074
Phone Number
404-512-5612
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503836 | 05 | AZ |
Provider Business Practice Location Address Details
Address
1616 E Main St Ste 223
City
State
Zip
85203-9074
Phone Number
404-512-5612
Fax Number
Provider Business Mailing Address Details
Address
1616 E Main St Ste 223
City
State
Zip
85203-9074
Phone Number
404-512-5612
Fax Number
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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