Individual
JESSICA FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
18789 N REEMS RD, SURPRISE, AZ 85374-8648
(602) 434-3069
Mailing address
15137 W YUCATAN DR, SURPRISE, AZ 85379-6302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-7999T
AZ
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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