Individual
JESSICA ASHLEY WANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 N 79TH AVE STE 205A, GLENDALE, AZ 85308-8726
(818) 488-6852
Mailing address
17505 N 79TH AVE STE 205A, GLENDALE, AZ 85308-8726
(818) 488-6852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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