Individual
ANNA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 S LAKESHORE DR STE 106, TEMPE, AZ 85282-7156
(480) 525-0058
Mailing address
1000 S GILBERT RD APT 2020, GILBERT, AZ 85296-0445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/19/2021
Last updated
10/18/2023
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