Individual
JESSICA ANN PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4657 S LAKESHORE DR STE 1, TEMPE, AZ 85282-7170
(480) 718-1261
Mailing address
4657 S LAKESHORE DR STE 1, TEMPE, AZ 85282-7170
(602) 565-4757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-21825
AZ
101YP2500X
Professional Counselor
Primary
LPC-21825
AZ
Other
Enumeration date
02/14/2023
Last updated
11/13/2024
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