Individual
JILL COXEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11010 S 51ST ST, # 50402, PHOENIX, AZ 85044-4311
(480) 203-0928
Mailing address
PO BOX 50402, PHOENIX, AZ 85076-0402
(480) 203-0928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14255
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14255
AZ LPC
—
Enumeration date
06/13/2013
Last updated
06/13/2013
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