Search › Arizona › 104100000X
Jacob Rundall, LCSW
NPI 1205421229 · on the registry since 2021
Practice
- Address
- 3231 W Shangri La Rd
Phoenix, AZ 85029 - Phone
- (563) 639-4787
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- NM, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona