Individual
JENICE COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10105 E VIA LINDA STE 103-7, SCOTTSDALE, AZ 85258-5311
(480) 679-8743
Mailing address
4539 N 22ND ST STE N, PHOENIX, AZ 85016-4639
(239) 961-5068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-23395
AZ
Other
Enumeration date
03/17/2025
Last updated
04/27/2025
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