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Individual

A'NNA JURICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, LPC, CRADC

Contact information

Practice address
15 BREWERY AVE, BISBEE, AZ 85603-1041
(618) 738-0367
Mailing address
PO BOX 729, BISBEE, AZ 85603-0729
(618) 738-0367

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-23403
AZ
101YP2500X
Professional Counselor
Primary
180-004996
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000
IL
Enumeration date
02/05/2018
Last updated
03/23/2026
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