| Doctor Name: | JAMIE L HANCOCK |
| NPI Number: | 1013303023 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC |
| License Number: | LAC-12581 |
| Business Practice Address: | 2120 S Mcclintock Dr Suite 105 Tempe, AZ - 852822692 |
| Business Phone Number: | 4808040326 |
| Business Fax Number: | 4803027884 |
| Mailing Address: | 1400 E Southern Ave, Ste. 735 TEMPE |
| State: | AZ |
| Postal Code: | 852825691 |
| Phone Number: | 4808040326 |
| Fax Number: | 4803027884 |
| NPI Enumeration Date: | 04/07/2015 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LAC-12581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |