Provider Demographics
NPI:1053771808
Name:BELIARD, JESSIE (LPC)
Entity type:Individual
Prefix:MISS
First Name:JESSIE
Middle Name:
Last Name:BELIARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20988 E VIA DEL RANCHO
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-1699
Mailing Address - Country:US
Mailing Address - Phone:602-303-8218
Mailing Address - Fax:602-845-8218
Practice Address - Street 1:6909 W RAY RD STE 138
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226
Practice Address - Country:US
Practice Address - Phone:602-303-8218
Practice Address - Fax:602-845-8218
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-15545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional