Individual
JENNIFER LYNN VITAGLIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1057 E KENSINGTON RD, GILBERT, AZ 85297-0023
(480) 444-6379
Mailing address
1057 E KENSINGTON RD, GILBERT, AZ 85297-0023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1155
AZ
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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