Individual
MRS. LAUREN MICHELLE JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14300 N NORTHSIGHT BLVD STE 218, SCOTTSDALE, AZ 85260-3677
(602) 359-3333
Mailing address
25248 N BRONCO TRL, SCOTTSDALE, AZ 85255-2142
(602) 359-3333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC15565
AZ
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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