Individual
JENNIFER GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4626 E FT LOWELL RD, ST 'R', TUCSON, AZ 85712
(520) 771-6772
Mailing address
3049 N 24TH LN, PHOENIX, AZ 85015-5676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22305
AZ
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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