Jung, Audrey Beth
Jung, Audrey Beth is an sole proprietor health care provider with primary practice located at 90 S Kyrene Rd Suite 4, Chandler AZ 85226-4687. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jung, Audrey Beth can be contacted via phone (480) 775-6423.Contact Information
Primary practice address
90 S Kyrene Rd Suite 4
Chandler AZ 85226-4687
Phone: (480) 775-6423
Fax: (480) 775-6425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC1691 | Arizona |
Profile Details
| NPI number | 1902885163 |
|---|---|
| LBN Legal business name | Jung, Audrey Beth |
| Credentials | LPC, NCC, FAPA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2006 |
| Last updated | Dec 2nd, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902885163 | NPPES |
| Arizona | Other | 1861892689 | NPPES |
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