Individual
JESSICA JULIA WILLMENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3308 E SAINT JOHN RD, PHOENIX, AZ 85032-2092
(602) 697-7224
Mailing address
3308 E SAINT JOHN RD, PHOENIX, AZ 85032-2092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16751
AZ
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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