| Doctor Name: | MRS. JANE MATHEWS |
| NPI Number: | 1295917474 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. ED. |
| License Number: | |
| Business Practice Address: | 1094 N. Gilbert Way Camp Verde, AZ - 86322 |
| Business Phone Number: | 9285678039 |
| Business Fax Number: | 9285678045 |
| Mailing Address: | 1326 Montezuma Castle Rd., CAMP VERDE |
| State: | AZ |
| Postal Code: | 86322 |
| Phone Number: | 9285678039 |
| Fax Number: | 9285678045 |
| NPI Enumeration Date: | 11/29/2007 |
| NPI Last Update Date: | 11/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |