Individual
JACQUELINE HONEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC-T
Contact information
Practice address
4505 E CHANDLER BLVD STE 155, PHOENIX, AZ 85048-7685
(602) 844-4198
Mailing address
1336 E ORANGE ST, TEMPE, AZ 85281-4327
(602) 799-2709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-08101T
AZ
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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