| Gishkin And Associates Pllc | |
|
9445 S 50th St Phoenix AZ 85044-5629 | |
| (602) 708-4719 | |
| (602) 680-1260 |
| Full Name | Gishkin And Associates Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9445 S 50th St, Phoenix, Arizona |
| Authorized Official Name and Position | Jeffrey Mark Gishkin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6027084719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gishkin And Associates Pllc 9445 S 50th St Phoenix AZ 85044-5629 Ph: (602) 708-4719 | Gishkin And Associates Pllc 9445 S 50th St Phoenix AZ 85044-5629 Ph: (602) 708-4719 |
| NPI Number | 1174764716 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174764716 | NPI | - | NPPES |
| 384249 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-0181 (Arizona) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-0079 (Arizona) | Primary |
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