| Doctor Name: | JERRY D SLATON |
| NPI Number: | 1881877967 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LAC |
| License Number: | LAC-12153 |
| Business Practice Address: | 2120 S Mcclintock Dr Ste. 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: | 12/11/2007 |
| NPI Last Update Date: | 10/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LAC-12153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |