Doctor Name: | JENNIFER KIZER |
NPI Number: | 1982016432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LAC-13516 |
Business Practice Address: | 4250 E Florian Ave Building #1 Mesa, AZ - 852062797 |
Business Phone Number: | 4808441653 |
Business Fax Number: | 4805394947 |
Mailing Address: | 4250 E Florian Ave, Building #1 MESA |
State: | AZ |
Postal Code: | 852062797 |
Phone Number: | 4808441653 |
Fax Number: | 4805394947 |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LAC-13516 |
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 |