JAN HAROLD SCOUTEN

PHOENIX, AZ
NPI1629379938
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISCAC-1653)
Enumeration Date2010-11-03
Last Update Date2010-11-03
Business Address
Mr. JAN HAROLD SCOUTEN MDiv
5062 N 19TH AVE SUITE 102
PHOENIX, AZ 85015-3225
Phone number: 623-939-6567
Mailing Address
Mr. JAN HAROLD SCOUTEN MDiv
5062 N 19TH AVE SUITE 102
PHOENIX, AZ 85015-3225
Phone number: 623-939-6567
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