| Jj Counseling Services Llc | |
|
1910 S Stapley Dr Ste 221 Mesa AZ 85204-6680 | |
| (480) 681-7772 | |
| Not Available |
| Full Name | Jj Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1910 S Stapley Dr Ste 221, Mesa, Arizona |
| Authorized Official Name and Position | Reita Jenae Juarez (OWNER) |
| Authorized Official Contact | 8013107591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jj Counseling Services Llc 2152 S Vineyard Ste 110 Mesa AZ 85210-6881 Ph: (480) 681-7772 | Jj Counseling Services Llc 1910 S Stapley Dr Ste 221 Mesa AZ 85204-6680 Ph: (480) 681-7772 |
| NPI Number | 1275284044 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 02/03/2023 |
| Certification Date | 02/03/2023 |
| Medicare PECOS PAC ID | 4688068356 |
|---|---|
| Medicare Enrollment ID | O20220222001948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275284044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Reita Jenae Juarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568968287 PECOS PAC ID: 9436480829 Enrollment ID: I20220225002214 |
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