XAVIER LEWIS JENKINS

PHOENIX, AZ
NPI1114531514
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  13332)
Enumeration Date2020-09-02
Last Update Date2020-09-02
Business Address
XAVIER LEWIS JENKINS counselor
5062 N 19TH AVE STE 102
PHOENIX, AZ 85015-3225
Phone number: 480-629-5994
Mailing Address
XAVIER LEWIS JENKINS counselor
9326 W RASCON LOOP
PHOENIX, AZ 85037-6309
Phone number: 602-488-8880
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