Individual
JACQUETTE SHINEESE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 S DOBSON RD STE 211, MESA, AZ 85202-5663
(520) 251-1575
(520) 635-4758
Mailing address
20987 N JOHN WAYNE PKWY # B104-113, MARICOPA, AZ 85139-2926
(520) 251-1575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18852
AZ
101YP2500X
Professional Counselor
6401020212
MI
Other
Enumeration date
03/13/2020
Last updated
08/09/2023
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