Individual
IRENE LEIVAS JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC, CSAT
Contact information
Practice address
7633 E ACOMA DR STE 210, SCOTTSDALE, AZ 85260-2908
(602) 214-6379
Mailing address
5930 E SPRING RD, SCOTTSDALE, AZ 85254-5549
(602) 214-6379
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC13643
AZ
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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