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Individual

AMY JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
3015 N SCOTTSDALE RD UNIT 4205, SCOTTSDALE, AZ 85251-7262
(616) 581-2597
Mailing address
3015 N SCOTTSDALE RD UNIT 4205, SCOTTSDALE, AZ 85251-7262
(616) 581-2597

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-24245
AZ

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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