Provider Demographics
NPI:1275151730
Name:HELMER, JASON TROY
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:TROY
Last Name:HELMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 E GRANITE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-4318
Mailing Address - Country:US
Mailing Address - Phone:209-303-4137
Mailing Address - Fax:
Practice Address - Street 1:1423 S HIGLEY RD STE 103
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3449
Practice Address - Country:US
Practice Address - Phone:209-641-1165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor