Siozos, Jennifer
Siozos, Jennifer is an individual health care provider with primary practice located at 477 E. Broadway Road , Apache Junction AZ 85219. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Siozos, Jennifer can be contacted via phone (480) 983-0065.Contact Information
Primary practice address
477 E. Broadway Road
Apache Junction AZ 85219
Phone: (480) 983-0065
Fax: (480) 288-5339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-01367 | Arizona |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-10813 | Arizona |
Profile Details
| NPI number | 1932267846 |
|---|---|
| LBN Legal business name | Siozos, Jennifer |
| Credentials | LISAC, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Mar 13th, 2008 - about 17 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 | 1932267846 | NPPES |
| Arizona | MEDICAID | 769333 |
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