Individual
AMY IENNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3858 E KERESAN ST, PHOENIX, AZ 85044-3830
(505) 417-4568
Mailing address
3858 E KERESAN ST, PHOENIX, AZ 85044-3830
(505) 417-4568
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CCMH0178241
NM
101YP2500X
Professional Counselor
Primary
LPC-20165
AZ
Other
Enumeration date
10/20/2009
Last updated
11/27/2024
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