Fierstein, Jason
Fierstein, Jason is an sole proprietor health care provider with primary practice located at 690 N Cofco Center Ct , Phoenix AZ 85008-6462. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Fierstein, Jason can be contacted via phone (602) 323-8200.Contact Information
Primary practice address
690 N Cofco Center Ct
Phoenix AZ 85008-6462
Phone: (602) 323-8200
Fax: (602) 286-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC-11914 | Arizona |
Profile Details
| NPI number | 1225097553 |
|---|---|
| LBN Legal business name | Fierstein, Jason |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225097553 | NPPES |
| Arizona | MEDICAID | 922717 |
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