Individual
JENNIFER SIELAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2271 S PEART RD, CASA GRANDE, AZ 85122-8545
(520) 836-1713
(520) 836-4046
Mailing address
210 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2514
(520) 836-1688
(520) 421-2708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10864
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10864
LISAC
AZ
Enumeration date
11/23/2009
Last updated
11/23/2009
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