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Individual

JEANETTE VOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
16000 E PALISADES BLVD, FOUNTAIN HILLS, AZ 85268-3131
(480) 664-5430
(480) 664-5097
Mailing address
16000 E PALISADES BLVD, FOUNTAIN HILLS, AZ 85268-3131
(480) 664-5430
(480) 664-5097

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC13620
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
86-0261487
AZ
Enumeration date
04/04/2012
Last updated
04/04/2012
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