Individual
JEFF BAGGENSTOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1257 W WARNER RD, SUITE B-3, CHANDLER, AZ 85224-2713
(480) 440-3276
Mailing address
1257 W WARNER RD, SUITE B-3, CHANDLER, AZ 85224-2713
(480) 440-3276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11204
AZ
Other
Enumeration date
05/21/2008
Last updated
04/30/2010
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