Individual
MISS JACKIE PILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
4229 N 16TH ST, PHOENIX, AZ 85016-5318
(602) 230-0010
Mailing address
4229 N 16TH ST, PHOENIX, AZ 85016-5318
(602) 230-0010
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Enumeration date
10/30/2007
Last updated
11/12/2007
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