Azel Jackson's National Provider Identifier (NPI) Details
Azel Jackson, LPC
NPI: 1508415043
Enumeration Date: 2019-09-07
Last updated: 2023-05-23
Sole Proprietor: YES
Status: active
Postal Address: 1209 S 1ST AVE, PHOENIX, AZ
Phone: 602-258-6797
Primary Practice Address: 3807 N 7TH ST, PHOENIX, AZ
Practice's phone: 602-258-6797