Doctor Name: | MAYRA LORENA JIRAK |
NPI Number: | 1043272164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC-11608 |
Business Practice Address: | 2423 W. Dunlap Ave., Suite 140 Phoenix, AZ - 850212830 |
Business Phone Number: | 6022795351 |
Business Fax Number: | 6022795361 |
Mailing Address: | 4041 N Central Ave Bldg C, PHOENIX |
State: | AZ |
Postal Code: | 850123313 |
Phone Number: | 6022795262 |
Fax Number: | 6022795390 |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-11608 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |