JILLIAN VANSELOW

PHOENIX, AZ
NPI1053742478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  13339)
Enumeration Date2013-12-11
Last Update Date2013-12-11
Business Address
-- JILLIAN VANSELOW
34225 N 27TH DR BLDG 5 SUITE 138
PHOENIX, AZ 85085-6087
Phone number: 602-810-1130
Mailing Address
-- JILLIAN VANSELOW
34225 N 27TH DR BLDG 5 SUITE 138
PHOENIX, AZ 85085-6087
Phone number: 602-810-1130
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