Individual
JENNY LYNN WHIPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3048 E BASELINE RD STE 117, MESA, AZ 85204-7288
(602) 834-4458
Mailing address
2461 E KAEL CIR, MESA, AZ 85213-2361
(480) 235-0085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22054
AZ
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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