Individual
JENNIFER LYNNE KISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7530 E MAIN ST APT 201, SCOTTSDALE, AZ 85251-4574
(480) 800-9303
Mailing address
834 E WHITTEN ST, CHANDLER, AZ 85225-6444
(701) 721-0474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20440
AZ
Other
Enumeration date
10/10/2023
Last updated
10/17/2023
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