Individual
MRS. JACQUELINE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW ,LCSW
Contact information
Practice address
430 N DOBSON RD, SUITE 110, MESA, AZ 85201-5276
(480) 964-8771
(480) 964-8865
Mailing address
430 N DOBSON RD, SUITE 110, MESA, AZ 85201-5276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-0339
AZ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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