JACOB TY PEHRSON

GLENDALE, AZ
NPI1457922429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-20054)
Enumeration Date2021-07-09
Last Update Date2021-07-23
Business Address
JACOB TY PEHRSON LAC
17505 N 79TH AVE STE 410
GLENDALE, AZ 85308-8732
Phone number: 623-800-7980
Mailing Address
JACOB TY PEHRSON LAC
17505 N 79TH AVE STE 410
GLENDALE, AZ 85308-8732
Phone number: 623-800-7980