Jamil Alwazan, M.A
Individual provider Active NPI Counselor · Tempe, AZ
NPI 1396574497 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1396574497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1421 N McAllister Ave
Tempe, AZ 85288-1523 - Phone
- (425) 233-1816
- NPI assigned
- Jul 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1421 N McAllister Ave
Tempe, AZ 85288-1523
Mailing address
1421 N McAllister Ave
Tempe, AZ 85288-1523
Phone (425) 233-1816
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.