Individual
JENNIFER JAULANE COLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HIGHWAY 89 NORTH, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
3230 W SHANNON DR, FLAGSTAFF, AZ 86001-1088
(812) 560-8861
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-23289
AZ
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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