Individual
MRS. JASMIN CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
18205 N 51ST AVE STE 131, GLENDALE, AZ 85308-1492
(602) 499-5329
Mailing address
16580 W JENAN DR, SURPRISE, AZ 85388-6071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19962
AZ
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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