| Mayra Lorena Jirak, LPC | |
|
2423 W. Dunlap Ave., Suite 140, Phoenix, AZ 85021-2830 | |
| (602) 279-5351 | |
| (602) 279-5361 |
| Full Name | Mayra Lorena Jirak |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 2423 W. Dunlap Ave., Suite 140, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043272164 | NPI | - | NPPES |
| 994609 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-11608 (Arizona) | Secondary |
| 101Y00000X | Counselor | LISAC-11404 (Arizona) | Primary |
| Entity Name | Adelante Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083772545 PECOS PAC ID: 4688588643 Enrollment ID: O20031114000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mayra Lorena Jirak, LPC 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 Ph: (602) 279-5262 | Mayra Lorena Jirak, LPC 2423 W. Dunlap Ave., Suite 140, Phoenix, AZ 85021-2830 Ph: (602) 279-5351 |
Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715 |
Philip Lee Mcdonald, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 S 16th St, Phoenix, AZ 85034 Phone: 714-235-1970 |
Melinda Chapin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 W Osborn Rd, Phoenix, AZ 85019 Phone: 602-269-5300 Fax: 602-269-5380 |
Beverly Seyler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4525 E Saint Anne Ave, Phoenix, AZ 85042 Phone: 602-431-6685 |
Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944 |
Yesenia C. Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4539 N 22nd St # 8281, Phoenix, AZ 85016 Phone: 480-744-2006 Fax: 480-744-2006 |
Mrs. Christine Daudier, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10046 N Metro Pkwy W, Phoenix, AZ 85051 Phone: 844-646-3247 |