Individual
JENNIFER ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E BIRCH AVE STE 2, FLAGSTAFF, AZ 86001-5282
(928) 288-4346
Mailing address
222 E BIRCH AVE STE 2, FLAGSTAFF, AZ 86001-5282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19642
AZ
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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