Individual
JENNY V COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24906 W BOONE DR, CASA GRANDE, AZ 85193-8268
(520) 405-7575
Mailing address
24906 W BOONE DR, CASA GRANDE, AZ 85193-8268
(520) 405-7575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
60569
—
101YP2500X
Professional Counselor
Primary
LPC-12004
AZ
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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