Individual
JENIFFER MIJARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395-2713
(877) 809-5092
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(877) 809-5092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-23571
AZ
Other
Enumeration date
09/06/2022
Last updated
02/04/2025
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