Maxwell V. Jaskolski, LAC.
Counselor, Mental Health in Chandler, AZ. Individual provider (NPI-1).
NPI number1033859608
StatusActive
Last updated in NPPESMar 31, 2022
Details
- NPI
- 1033859608
- Entity type
- Individual (NPI-1)
- Name
- Mr. Maxwell V. Jaskolski
- Credential
- LAC.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2022
- Certification date
- Mar 31, 2022
- Last updated
- Mar 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LAC-20379 | AZ | Yes |
Practice location
3150 N. Arizona Ave Suite 114Chandler, AZ 85225
Phone 480-459-9994 · Fax 480-685-8778
Mailing address
3150 N. Arizona Ave. Suite 114Chandler, AZ 85225
Phone 480-459-9994 · Fax 480-685-8778
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