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Individual

JENNIFER CARMODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
16427 N SCOTTSDALE RD, SCOTTSDALE, AZ 85254-8197
(602) 456-4074
Mailing address
3523 E THUNDERBIRD RD, PHOENIX, AZ 85032-5333

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LAC-14206
AZ
101YP2500X
Professional Counselor
Primary
LPC-21965
AZ

Other

Enumeration date
02/02/2021
Last updated
08/27/2023
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