Individual
JENNA JOANN- MAE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20185 E OCOTILLO RD STE 102, QUEEN CREEK, AZ 85142-7663
(480) 927-3632
Mailing address
5980 S COOPER RD STE 3, CHANDLER, AZ 85249-5394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-19124
AZ
101YP2500X
Professional Counselor
Primary
LPC-24023
AZ
Other
Enumeration date
04/15/2025
Last updated
07/29/2025
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