NPI | 1760496525 |
---|---|
Other Name | JEF GAZLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC0023) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC0046) |
106H00000X Marriage & Family Therapist (Licence: AZ LMFT0090) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2020-02-18 |