Jirak, Mayra Lorena

Jirak, Mayra Lorena is an individual health care provider with primary practice located at 2423 W. Dunlap Ave., Suite 140 , Phoenix AZ 85021-2830. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jirak, Mayra Lorena can be contacted via phone (602) 279-5351.

Contact Information

Primary practice address
2423 W. Dunlap Ave., Suite 140 Phoenix AZ 85021-2830
Phone: (602) 279-5351
Fax: (602) 279-5361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-11608 Arizona
Behavioral Health & Social Service Providers / Counselor 101Y00000X LISAC-11404 Arizona

Profile Details

NPI number 1043272164
LBN Legal business name Jirak, Mayra Lorena
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 26th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043272164 NPPES
Arizona MEDICAID 994609

Popular Providers