Provider Demographics
NPI:1760496525
Name:GAZLEY, JEF (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JEF
Middle Name:
Last Name:GAZLEY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:JEF
Other - Middle Name:
Other - Last Name:GAZLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPC
Mailing Address - Street 1:6540 E KELTON LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1406
Mailing Address - Country:US
Mailing Address - Phone:480-998-0560
Mailing Address - Fax:480-998-1058
Practice Address - Street 1:6540 E KELTON LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1406
Practice Address - Country:US
Practice Address - Phone:480-998-0560
Practice Address - Fax:480-998-1058
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC0046101YA0400X
AZLMFT0090106H00000X
AZLPC0023101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty