Individual
JENNIFER ANN BOMICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2820 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1242
(844) 385-3474
Mailing address
2820 N GLASSFORD HILL RD STE 108, PRESCOTT VALLEY, AZ 86314-2256
(844) 385-3747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-22658
AZ
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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