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NPI Code Detail

MEDICARE: JILL SLOCUM

MEDICARE:   JILL  SLOCUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC-21041AZ

General Provider Information

NPI Number : 1699190512
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL SLOCUM
Provider Business Mailing Address
First Line : 335 N ALMA SCHOOL RD STE E
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-4363
Country : US
Telephone Number : 480-641-1165
Fax Number :
Provider Business Practice Location Address
First Line : 335 N ALMA SCHOOL RD STE E
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-4363
Country : US
Telephone Number : 480-641-1165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2014
Last Update Date : 06/03/2022

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Directions to “ JILL SLOCUM ” Practice Location

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