Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey S Jirak, LPC, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063565455

Jeffrey S Jirak, LPC, LISAC is an Addiction (Substance Use Disorder) Counselor in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

11851 N 51st Ave Ste B110
Glendale, AZ 85304-2823
Phone: (480) 882-4545
Fax: (623) 773-2267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-2320 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LISAC-10590 (AZ)

Record details

NPI number1063565455
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LISAC
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESMay 11, 2023
Certification dateApril 20, 2023

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