Individual
MRS. GWENEVAER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
19820 N 7TH ST STE 140, PHOENIX, AZ 85024-1691
(623) 487-7763
Mailing address
1824 E SANDRA TER, PHOENIX, AZ 85022-2874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23156
AZ
Other
Enumeration date
09/11/2023
Last updated
04/28/2025
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