Mayra Lorena Jirak, LPC | |
2423 W. Dunlap Ave., Suite 140, Phoenix, AZ 85021-2830 | |
(602) 279-5351 | |
(602) 279-5361 |
Full Name | Mayra Lorena Jirak |
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Gender | Female |
Speciality | Counselor |
Location | 2423 W. Dunlap Ave., Suite 140, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043272164 | NPI | - | NPPES |
994609 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC-11608 (Arizona) | Secondary |
101Y00000X | Counselor | LISAC-11404 (Arizona) | Primary |
Entity Name | Native Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740462761 PECOS PAC ID: 4385738418 Enrollment ID: O20180319001101 |
Mailing Address | Practice Location Address |
---|---|
Mayra Lorena Jirak, LPC 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 Ph: (602) 279-5262 | Mayra Lorena Jirak, LPC 2423 W. Dunlap Ave., Suite 140, Phoenix, AZ 85021-2830 Ph: (602) 279-5351 |
Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715 | |
Philip Lee Mcdonald, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 S 16th St, Phoenix, AZ 85034 Phone: 714-235-1970 | |
Melinda Chapin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 W Osborn Rd, Phoenix, AZ 85019 Phone: 602-269-5300 Fax: 602-269-5380 | |
Beverly Seyler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4525 E Saint Anne Ave, Phoenix, AZ 85042 Phone: 602-431-6685 | |
Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944 | |
Margaret Ann Beresford, MC, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4545 N. 36th Street, Suite 117, Phoenix, AZ 85018 Phone: 602-509-5771 | |
Kevin Jessup, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 N 19th Pl, Phoenix, AZ 85016 Phone: 602-460-5350 |