Individual
JENNIFER LEE JAECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3141 N 3RD AVE, PHOENIX, AZ 85013-4360
(602) 914-1520
(602) 266-0545
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17873
AZ
Other
Enumeration date
09/20/2017
Last updated
06/25/2019
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