MEDICARE: AJ COUNSELING LLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1699638973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJ COUNSELING LLC

Provider Business Mailing Address
First Line	:	19016 N 12TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85024-2377
Country	:	US
Telephone Number	:	623-745-6224
Fax Number	:

Provider Business Practice Location Address
First Line	:	19016 N 12TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85024-2377
Country	:	US
Telephone Number	:	623-745-6224
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACOB LEONARDI
Credential	:	LCSW
Telephone Number	:	623-745-6224

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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